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病例报告女,56岁。因反复粘液便6年,于1990年10月入院。患者曾于1984年夏有不洁食物史,因轻度吐、泻而未作治疗。2周后渐起粘液便3～6次/d,伴里急后重感。大便常规:粘液++～+++,白细胞2～满视野/高倍,红细胞0～2/高倍,细菌培养先后达20次均未见致病菌。纤维结肠镜、钡灌肠均未见异常。诊断过慢性结肠炎、溃疡性结肠炎、慢性菌痢、肠功能紊乱等。先后以黄连素、复方苯乙哌啶、次碳酸铋及中药等治疗,均无显效。体检:慢性消瘦面容,心肺正常,腹平软,肝肿未触及,左下腹压痛,无反跳痛。大便常规:粘液++。纤维结肠镜示:直肠轻度充血水肿。则停用所有药物,连续行大便细菌培养。停药后第10日检出沙门菌,为E_4群,山夫登堡型,O抗原1、3、9;H
Case report Female, 56 years old. Due to repeated mucus 6 years, in October 1990 admitted. Patients had a dirty food history in the summer of 1984, because of mild vomiting, diarrhea without treatment. 2 weeks later mucus will gradually 3 to 6 times / d, with tenesmus heavy sense. Stool routine: mucus ++ ~ +++, leukocytes 2 ~ full field of view / high, red blood cells 0 ~ 2 / high, bacterial culture up to 20 times were no pathogens. Fiber colonoscopy, barium enema were no exception. Diagnosis of chronic colitis, ulcerative colitis, chronic dysentery, intestinal disorders. Has berberine, compound diphenoxylate, bismuth subcarbonate and Chinese medicine treatment, were ineffective. Physical examination: chronic wasting face, normal heart and lungs, abdominal soft, hepatomegaly not touched, left lower quadrant tenderness, no rebound tenderness. Stool routine: mucus ++. Colonoscopy showed: rectal mild congestion and edema. Then disable all drugs, continuous stool bacterial culture. Salmonella was detected on the 10th day after drug withdrawal, as E_4 group, Safdenin-type and O antigen 1,3,9; H