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中毒型细菌性痢疾是急性痢疾的中毒型,多见于2—7岁的小儿。该病起病急,病情重,变化快。按临床特有表现可分为休克型:患儿面色苍白,四肢厥冷,呼吸急促,血压偏低等;脑型:患儿由于脑水肿,颅压增高而表现为反复抽风,昏迷和呼吸衰竭,瞳孔大小不匀,对光反射减弱或消失,呼吸深浅不匀;混合型:最为严重,表现为休克和呼吸衰竭的混合症状。我院1998年8月收治1例小儿中毒性痢疾混合型,经大剂量应用654—2抢救成功,现将治疗体会报告如下。
Toxic bacillary dysentery is a type of acute diarrhea poisoning, more common in children aged 2-7 years. The disease is acute, heavy illness, rapid change. According to the clinical manifestations can be divided into shock type: children pale, extremities Jueleng, shortness of breath, low blood pressure and other; brain: children with cerebral edema, increased intracranial pressure showed repeated ventilation, coma and respiratory failure, Pupil uneven size, diminished or disappeared light reflex, uneven breathing; Mixed type: the most serious, manifested as a mixture of shock and respiratory failure symptoms. In our hospital in August 1998 admitted to a mixed case of children with toxic dysentery, the successful application of large doses of 654-2 rescue, now the treatment experience report is as follows.