论文部分内容阅读
患者女性,21岁,因腹泻一月余,发热八天来院,既往身体健康。一个月前无明显诱因出现腹泻,伴上腹部疼痛,为阵发隐痛,开始腹泻5～6次/日,呈稀水样便,无脓血,偶有恶心呕吐,为胃内容物,于当地给抗生素治疗,多日治疗病情无好转,腹泻达数十次/日。胃镜示胆汁反流性胃炎,贲门炎。八天前出现发热38.8℃,转至上级医院查严重电解质紊乱,心肌酶升高,血象升高,便球杆比例失调,给以替硝唑、头孢他啶、左旋氧氟沙星及支持对症治疗
The female patient, aged 21, was hospitalized for eight days because of diarrhea and fever for eight days. A month ago no obvious incentive to cause diarrhea, accompanied by abdominal pain, paroxysm pain, diarrhea began 5 to 6 times / day, was watery stools, no abscess, occasional nausea and vomiting, stomach content in the local Antibiotic treatment, multi-day treatment condition did not improve, diarrhea up to dozens of times / day. Gastroscopy showed bile reflux gastritis, cardia inflammation. Eight days ago fever 38.8 ℃, go to the higher hospital check serious electrolyte disorders, elevated myocardial enzymes, blood increased, the club ratio imbalance to give tinidazole, ceftazidime, levofloxacin and support symptomatic treatment