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男性,24岁,战士。囡发热,腹痛,腹泻,脓血便5～6/d伴里急后重5d,于1990年9月9日入院。检查:体温37.5℃,脉搏84/min,血压15.2/10.4kPa,皮肤弹性佳,表浅淋巴结不肿大,心肺正常,腹软,左下腹压痛,肝脾未触及,肠鸣音活跃。实验室检查:血、尿常规均正常。僵常规:粘液(+++),脓细胞30～40/HP、红细胞10～15/HP。粪便培养分离出福氏痢疾杆菌。诊断:急性典型菌痢。住院经过入院后给予氟哌酸0.2g,每日3次,共治疗3d,退热,9月13日腹痛腹泻消失,便常规正常,粪便培养细菌转阴。伹患者再度出现发热,
Male, 24 years old, warrior.囡 fever, abdominal pain, diarrhea, purulent blood 5 ~ 6 / d with tenesmus 5d, admitted to hospital on September 9, 1990. Check: body temperature 37.5 ℃, pulse 84 / min, blood pressure 15.2 / 10.4kPa, good skin elasticity, superficial lymph nodes are not enlarged, normal heart and lung, abdominal soft, left lower quadrant tenderness, liver and spleen not touched, active bowel sounds. Laboratory tests: blood, urine are normal. Stiffness rules: mucus (+++), pus 30 ~ 40 / HP, red blood cells 10 ~ 15 / HP. Stool culture isolated from Shigella flexneri. Diagnosis: Acute typical bacillary dysentery. After hospital admission to give norfloxacin 0.2g, 3 times a day, a total of three days treatment, fever, abdominal pain and diarrhea disappear on September 13, they routine normal, feces culture overcast.伹 patients again fever,