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病例摘要于××,男,1岁6月。因发热5天,腹泻2天,惊厥1天于1983年5月5日入院。 10天前因发热,轻咳,耳流脓在外就诊,曾摄胸片示“肺炎”,白细胞18,900/立方毫米,中性粒细胞50%,诊断为“肺炎、中耳炎”,又疑有“百日咳”,曾去传染病院会诊,未确诊。经用庆大霉素治疗2天,热退。近4～5天来又发热,伴腹胀,便秘,但咳喘并未加重,仍按“肺炎”治疗,肌注青、链霉素等。2天前因便秘服果导片一片,大便初为稀便,不成形,以后转为水样便,蛋花汤样,无脓血,次数极多,无法计数,即住当地县医院治疗。入院时体温41℃,重度脱水征,呼吸深长,面色发青,神志恍惚,无尿。经
Case summary in × ×, male, 1 year old in June. Due to fever 5 days, 2 days diarrhea, convulsions one day in May 5, 1983 admission. 10 days ago due to fever, light cough, ear pus outside treatment, had taken chest radiograph showed “pneumonia”, white blood cells 18,900 / cubic mm, 50% of neutrophils, diagnosed as “pneumonia, otitis media” and suspected “whooping cough ”, Went to infectious disease hospital consultation, not diagnosed. Gentamicin treated with 2 days, hot retreat. Nearly 4 to 5 days and fever, with bloating, constipation, but cough and wheezing did not increase, still according to “pneumonia” treatment, intramuscular injection of green, streptomycin and so on. 2 days ago due to constipation fruit guide piece, early stool loose stools, non-forming, later turned into watery stool, egg-like soup, no sepsis, the frequency of extremely numerous, can not count, that live in the local county hospital treatment. Admission temperature 41 ℃, sign of severe dehydration, long breathing, pale complexion, trance, no urine. through