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患者女性,67岁,离休干部,于1994年10月8日7时入院,患者入院前半天食不洁食物,至入院前3小时突发腹痛,以脐周及左下腹为主,继而波及全腹,为持续性钝痛,阵发性绞痛,恶心无呕吐,大便2次,为血便,带有粘液,约500ml,伴里急后重,发热发冷。大便常规:红细胞(++),巨噬细胞(++),白细胞(++),疑诊为急性细菌性痢疾,给予输液内加庆大霉素24万u,四环素lg,654-220mg等治疗,患者仍有明显腹痛,未再排血便,于16时被收入院。 既往有慢性喘息性支气管炎病史。出生于本地,未到外地,无不良嗜好,家族中其他成员无类似病史。
Female, 67 years old, retired cadres, admitted at 7 o’clock on October 8, 1994, half a day before admission to patients with unclean food, sudden abdominal pain 3 hours before admission to the umbilical and left lower quadrant dominated, and then spread to all Abdomen, persistent dull pain, paroxysmal colic, nausea and vomiting, stool 2 times, as bloody stools, with mucus, about 500ml, with tenesmus, fever and chills. Stool routine: red blood cells (++), macrophages (++), white blood cells (++), suspected of acute bacillary dysentery, given intravenous infusion of gentamicin 240000 u, tetracycline lg, 654-220mg, etc. Treatment, the patient is still obvious abdominal pain, no longer row of blood will be, at 16:00 was admitted to hospital. Past history of chronic asthmatic bronchitis. Born in local, not outside, no bad habits, other members of the family have no similar history.