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中毒型细菌性痢疾,病情危重,早期诊断,及时治疗,可明显降低病死率。回顾我院儿科2001年8 月至2003年10月成功抢救4例早期症状不典型的中毒型菌痢,现报告如下: 1 病例摘要例1,女,1岁4个月,因频繁抽搐一天,当地医院诊断为“癫痫”。经镇静止惊、降颅压、补钙无效,于 2001年8月20日转入我院。患儿出生时无产伤史, 无头部外伤史,既往无抽搐史。入院检查:体温 36．2℃,神志萎靡,面色青灰,呼吸急促。口唇发绀。瞳孔等大等圆,对光反射存在。颈无抵抗,两肺呼吸音粗糙,未闻及干湿性罗音。心率140/分,律齐,心音低钝。腹软,肝脾未触及,肠鸣音减弱。四肢肌力
Toxic bacillary dysentery, critically ill, early diagnosis, timely treatment, can significantly reduce the case fatality rate. Review of our hospital from August 2001 to October 2003 successfully rescued 4 cases of atypical early symptoms of poisoning bacillary dysentery, are as follows: 1 case summary 1, female, 1 year old 4 months, due to frequent convulsions a day, Local hospital diagnosed as “epilepsy.” After the sedated shock, reducing intracranial pressure, calcium invalid, on August 20, 2001 transferred to our hospital. Children born with no history of birth injury, no history of head injury, no history of previous convulsions. Admission examination: body temperature 36.2 ℃, apathetic, looking blue and gray, shortness of breath. Brushing lips. Pupil and other large circle, there is light reflection. Neck non-resistance, rough lung breath sounds, no smell and wet and dry rales. Heart rate 140 / min, law Qi, low heart sound blunt. Abdominal soft, liver and spleen not touched, bowel sounds weakened. Limb muscle strength