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在姚金澜《快速补充血容量和纠正酸中毒治疗早期低血容量及感染性休克的体会》一文启发下,我们于1975年7～9月间,以快速扩容、纠正酸中毒(简称纠酸),疏浚微循环障碍,赢得了抢救时间,积极抢救中毒型菌痢29例,全部治愈。现报告如下。一、诊断与分型诊断:在痢疾流行季节以突然高热(休克严重者体温可不高),急骤起病,肉眼脓血便或/和镜检见有大量脓细胞、红细胞(每高倍视野10个以上),并伴有下列临床表现之一者作为本组诊断标准:1.循环衰竭。2.呼吸衰竭。3.神志障碍(抽风或昏迷等)。
Inspired by Yao Jinlan’s article, “Quickly Replenishing Blood Volume and Correcting Early Hypovolemia and Septic Shock in Acidosis”, we rapidly expanded capacity to correct acidosis (abbreviated as acid correction) between July and September 1975, Dredging microcirculation, won the rescue time, and actively rescue poisoning bacillary dysentery in 29 cases, all cured. The report is as follows. First, the diagnosis and classification Diagnosis: In the epidemic of diarrhea in order to suddenly high fever (severe shock, body temperature may not be high), rapid onset, gross pus and blood or / and microscopy see a large number of pus, red blood cells (per high power field of 10 or more ), Accompanied by one of the following clinical manifestations as the diagnostic criteria in this group: 1. Circulatory failure. Respiratory failure. 3. Disorder (ventilation or coma, etc.).