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患儿男,1岁半,因腹泻、恶心、呕吐、发热1天就诊。大便黄绿色、水样,有异臭,腹泻共10余次,呕吐8次。病前2个月内有间歇性腹泻史。体检:T37.5℃,发育营养欠佳,精神软,面色苍白,四肢冷,口唇稍发绀,脱水貌,心、肺听诊正常。腹软,肝脾未及。大便常规可见白细胞。临床诊断为小儿肠炎。以庆大霉素、氯霉素、补液等治疗痊愈。就诊当日大便送我站培养检出缓慢爱德华菌(Et)。发病后第17天血清与自身首株凝集滴度为1∶160。诊断:Et肠炎。
Children male, 1 and a half years old, due to diarrhea, nausea, vomiting, fever 1 day treatment. Stool yellow green, watery, smelly, diarrhea, a total of more than 10 times, vomiting 8 times. There is a history of intermittent diarrhea within 2 months before illness. Physical examination: T37.5 ℃, poor nutrition, mental soft, pale, cold limbs, slightly cyanotic lips, dehydrated appearance, heart, lung auscultation normal. Abdomen soft, liver and spleen not yet. Stool routine visible white blood cells. Clinical diagnosis of children with enteritis. To gentamicin, chloramphenicol, rehydration and other treatment healed. The stool on the day of treatment sent me to stand to detect slow Edwards (Et). After the onset of the first 17 days serum agglutination with their first strain titer of 1: 160. Diagnosis: Et enteritis.