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一、病例简介患者,男,20岁。1977年冬开始大便不规律,时干燥,时腹泻,一月后大便带有脓血及粘液,里急后重,每日排便约4～6次,仍能坚持劳动,但易疲劳。既往健康,夏秋季未患痢疾。于1978年2月来我院就诊。查体一般状态佳,腹部平软,左下腹无压痛及包块。未做直肠指检。诊为“慢性菌痢”并进行治疗,疗效不显。转某市立医院,仍按痢疾处理,效果不佳。回当地后,大便量不多,大便有粘液及脓血,便前有时腹痛,排便有时困难,排便约6～8次/日。1978年8月在某中心卫生院就
First, the case profile Patients, male, 20 years old. Irregular stool in the winter of 1977, when dry, when diarrhea, stool after January with purulent blood and mucus, tenesmus, daily defecation about 4 to 6 times, still able to adhere to work, but easy to fatigue. Past health, summer and autumn did not have dysentery. In February 1978 to our hospital. Physical examination in general good condition, flat and soft abdomen, left lower quadrant no tenderness and mass. Not done rectal examination. Diagnosed as “chronic bacillary dysentery” and treatment, curative effect is not significant. Transfer to a municipal hospital, still according to dysentery treatment, the effect is not good. Back to the local after the stool amount, stool with mucus and purulent blood, then sometimes abdominal pain, defecation sometimes difficult, defecation about 6 to 8 times / day. August 1978 in a center on the hospital