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生活实例:有一位中年患者,糖尿病病史10年以上,长期口服二甲双胍、阿卡波糖(拜糖平)等治疗,但高血糖未得到有效控制,已并发眼底病、肾病。近年来,虽然患者十分注意饮食卫生,但腹泻十分严重,一天20多次,夜间为重,水样便,无脓血,无腹痛。有时大便有脂肪样油脂,而且腹泻很突然,一有便意即泻,常将大便拉在内裤上。为此患者十分痛苦,曾行结肠镜检查,发现结肠黏膜充血,细菌培养阴性。患者曾多次口服止泻药,可腹泻仍然反复出现。
Examples of life: there is a middle-aged patients, diabetes mellitus history of more than 10 years, long-term oral metformin, acarbose (including sugar level) and other treatment, but hyperglycemia is not effectively controlled, has been complicated by fundus, kidney disease. In recent years, although patients pay great attention to food hygiene, but diarrhea is very serious, more than 20 times a day, night heavy, watery stools, no blood, no abdominal pain. Sometimes stools have fat-like fats, and diarrhea is very sudden, a constipation that is diarrhea, often pull the stool in the underwear. To this end the patient is very painful, had colonoscopy, found that colon mucosal congestion, bacterial culture negative. Patients have repeatedly oral antidiarrheal drugs, diarrhea can still occur repeatedly.