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患者男性,10岁,因腹痛腹泻,反复便血于82年10月12日入院。患儿曾于27天前因高烧腹泻住当地县医院,经治疗后病情有所减轻,后又突然便血,尿少,大便次数加增达20次,因治疗未见好转来我院就诊,以急性坏死性肠炎住院。入院时体检:T39℃,B、P、60/50mmHg,体重17Kg,全身衰竭、面色苍白,浮肿,骨瘦如柴,全腹有压痛。化验:大便隐血阳性,血红蛋白4g％,血浆总蛋白4.48g％(白蛋白2.5g％,球蛋白1.96g％)。经治疗后大便次数减为10~+次,大便隐血试验阴转。10月26日营养会诊时患儿已禁食40天之久,于10月27开始采用要素饮食,共用17天,适应自然食物后于11月17日全愈出院。
Male patient, 10 years old, due to abdominal pain and diarrhea, recurrent blood in the stool was admitted on October 12, 82. Children with diarrhea 27 days ago lived in the county hospital, after treatment, the condition has eased, and then suddenly blood in the stool, oliguria, stool frequency increased up to 20 times, because the treatment did not improve to our hospital, with Acute necrotic enteritis hospitalization. Physical examination on admission: T39 ℃, B, P, 60 / 50mmHg, weight 17Kg, systemic failure, pale, edema, skinny, full tenderness. Assay: occult occult blood was positive, hemoglobin 4g%, total plasma protein 4.48g% (albumin 2.5g%, globulin 1.96g%). After treatment stool frequency reduced to 10 ~ + times, fecal occult blood test Yin turn. October 26 nutrition consultation children with fasting for 40 days long, on October 27 began using the elemental diet, sharing 17 days, after the natural food to adapt to all the more discharged on November 17.