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1 病例报告患者男,30岁。于2000—07—08突发头痛头昏、恶心、疲乏、全身躁热,半小时后出现腹痛、腹泻,大便水样便。自认为由饮食引起,口服氟哌酸、痢特灵无效,下腹痛和腹泻加重,速到医院求治。查体:体温38℃,脉搏103/min,血压14.7/9.33kPa(110/70mmHg)。面色潮红、呼吸加快。血常规:白细胞7.2×10~9/L。腹部平滑肌轻度紧张。初步诊断:感染性腹泻,给予生理盐水250ml,0.2%甲硝唑250ml,庆大霉素24万 U,地塞米松10mg,静滴。3h 后,腹痛减轻,体温仍在38℃以上,头痛、头晕、恶心加重、大量出汗、皮肤湿冷,出现阵发性四肢痉挛和疼痛。经会诊排除“感染性腹
1 case report patient male, 30 years old. In 2000-07-08 sudden headache dizziness, nausea, fatigue, body heat, abdominal pain after half an hour, diarrhea, stool watery stools. Since that diet caused, oral norfloxacin, furazolidone invalid, lower abdominal pain and diarrhea aggravated, speed to the hospital for treatment. Examination: body temperature 38 ℃, pulse 103 / min, blood pressure 14.7 / 9.33kPa (110 / 70mmHg). Flushed, breathing faster. Blood: white blood cells 7.2 × 10 ~ 9 / L. Abdominal smooth muscle mild tension. Preliminary diagnosis: Infectious diarrhea, given saline 250ml, metronidazole 0.2% 250ml, gentamicin 240000 U, dexamethasone 10mg, intravenous infusion. After 3h, abdominal pain was relieved, body temperature was still above 38 ℃, headache, dizziness, nausea increased, a large number of sweating, skin wet and cold, paroxysmal limb spasm and pain. After consultation to rule out ”infective abdomen