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细菌性痢疾(简称菌痢)和伤寒均为夏秋季常见的消化道传染病,因此同一患者可能发生两种病的混合感染,但临床上往往容易忽略。为引起注意,现报告1例如下。病历摘要:患者戴某,女性,19岁,江苏籍,保姆,于1984年5月24日入院。患者于同年5月11日吃生小萝卜,5月18日出现发热,体温38.5℃以上,经对症处理无效。5月22日出现腹痛、腹泻、粘液便,每日4～5次,伴有里急后重、乏力、纳差、恶心、呕吐数次,为胃内容物。于5月24日来院,查大便有脓球、红细胞满视野,按“急性细菌性痢疾”诊断入院。
Bacillary dysentery (dysentery dysentery) and typhoid fever are common gastrointestinal diseases in summer and autumn, so the same patient may occur mixed infection of the two diseases, but clinically easy to overlook. To draw attention, we report the following one. Medical records Abstract: Dai, female, 19 years old, Jiangsu nationality, nanny, was admitted on May 24, 1984. Patients in the same year on May 11 eating radish, May 18 fever, body temperature 38.5 ℃ above, the symptomatic treatment is invalid. May 22 abdominal pain, diarrhea, mucus will be 4 to 5 times daily, with tenesmus, fatigue, anorexia, nausea, vomiting several times for the stomach contents. To hospital on May 24, check the stool have pus ball, red blood cells full field, press “acute bacillary dysentery ” diagnosis and admission.