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细菌性痢疾是一常见的胃肠道疾病,今就我院近10年来所见病例,加以初步分析,供作参考。一、年龄性别:男女之比为286:214。本组为内二、职业:见表2。其中职员及工人各为155及150人。值得注意的是工人与职员的总和,占全病例的51%,说明集体生活者容易传染,这与人口的稠密、集体起居、饮食及生活流动性有关。三、季节:一年四季皆有发生,1—5月零星散布,6月份开始升高,7—10月发病数最多,而以8—9月为高峰。当然8—9月高峰的原因,与人民凉食习惯、气温、苍蝇孳生有关。见表3。四、临床类型:1.急性型:临床症状典型,发冷、发热、腹疼、便频且多有脓血,常里急后重,并有不同程度的毒血症状。2.慢性型:有多年病史,病情反复发作,本型占8.5%。3.轻型:症状轻微,便稀,轻度腹疼,无毒血症状,大便镜检典型。4.暴发型:来势凶险,有严重中毒症状,多呈周围循环衰竭情况,病死率数高。五、临床症状及体征:见表4。多数病例起病急骤,以腹泻、腹疼最多。腹泻内容物以水样便多见,脓血便次之。呕吐内容物多系食物,频吐不多见,发热严重者出现谵妄而抽风、昏迷,严重的脱水者并不多见。
Bacillary dysentery is a common gastrointestinal disease, now our hospital seen in the past 10 years, to be a preliminary analysis for reference. First, the age of gender: male to female ratio of 286: 214. This group is the second, occupation: see Table 2. Among them, there are 155 and 150 staff and workers each. It is noteworthy that the sum of workers and staff, accounting for 51% of the total cases, shows that communal living people are easily infected, which is related to the dense population, collective living, eating habits and liquidity of life. Third, the season: all year round Jieyou Jie, scattered from January to May, began to rise in June, the largest number of incidence in July-October, while the peak in August-September. Of course, the peak of August-September is due to people’s cold-eating habits, temperature and flies breeding. See Table 3. Fourth, the clinical type: 1. Acute type: a typical clinical symptoms, chills, fever, abdominal pain, frequency and more pus and blood, often tenesmus, and have varying degrees of poisoning symptoms. 2. Chronic type: many years of medical history, recurrent illness, the type accounted for 8.5%. 3. Light: mild symptoms, they are rare, mild abdominal pain, no toxic symptoms, stool microscopy typical. 4 outbreaks: dangerous, serious symptoms of poisoning, mostly circulatory failure around the case of high mortality. Fifth, clinical symptoms and signs: Table 4. Most cases of acute onset to diarrhea, abdominal pain up to. Diarrhea is more common with watery samples, followed by pus and blood. Vomiting and more food content of the system, frequent vomiting rare, severe fever, delirium and convulsions, coma, severe dehydration are rare.