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患者女,11岁,因脓血便一天伴呕吐、抽搐、血压下降入院。体检T40.5℃,R36次/分,P130次/分,BP70/50mmHg,中度脱水。心肺无异常,肝脾不大。双瞳孔3mm,光反应迟钝,生理反射存在,巴氏征(-),克氏征(-)。便检为脓血便,便培养福氏II型痢疾杆菌生长。肝功能正常,血钾2mEq/L,钠72mEq/L,氯74mEq/L,CO.CP31.36Vol%。眼底正常。诊断为中毒性菌痢混合型。给补液、抗感染、纠正电
Female patient, 11 years old, with pus and blood one day with vomiting, convulsions, blood pressure dropped to hospital. Physical examination T40.5 ℃, R36 times / min, P130 beats / min, BP70 / 50mmHg, moderate dehydration. No abnormal heart and lung, liver and spleen is not large. Double pupil 3mm, photopic reaction, the presence of physiological reflex, Pakistan sign (-), Kirschner sign (-). Will be seized as pus and blood will be training for growth of Shigella flexneri type Shigella. Normal liver function, serum potassium 2mEq / L, sodium 72mEq / L, chlorine 74mEq / L, CO.CP31.36Vol%. Fundus normal. Diagnosed as toxic bacillary dysentery mixed type. To rehydration, anti-infection, correct electricity