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shigellosis細(xì)菌性痢疾-在線瀏覽

2024-12-05 19:54本頁面
  

【正文】 Dysentery (blood, mucus) ,frequent, smallvolume, ? Tenesmus ? Abdominal pain (lower left abdominal quadrants) 21 22 Laboratory examination BR: Acute Phase : WBC↑(1020 109/L),dramatic shift Chronic Phase : WBC N、 N↑、 anemia SR: Appearance : bloody and mucoid stools Microscopic examination : pus cell, WBC15/HP, RBC, Macrophage SC: Before antibiotic treatment, Pus cell and blood, fresh multiple, rapid transport Typical type: ? Amebic dysentery ? Colitis caused by other bacterial ? Bacterial food poisoning ? Intussusception ? Acute necrotic enteritis 23 Differentiation diagnosis Toxic type: ? Shock type : Shock caused by other bacteria ? Cerebral type: Japanese B encephalitis 24 Differentiation diagnosis Chronic type: ? Rectal and colonic carcinoma ? Chronic schistosomiasis ? Crohn disease 25 Differentiation diagnosis Treatment typical type General treatment : ? Isolation hospitalization ? Careful monitor nursing Symptomatic treatment: ? Maintain the balances of fluid and electrolytes ? defervescence ? Prevent plication. 26 Treatment typical type Etiological treatment: Quinolones
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