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我院1958年夏秋季,收治了大批痢疾患者.除发现一般患者具有典型的症状,如腹疼、脓血样便、里急后重、便次增多之外,于一部分患者中,具有胃功能紊乱症状,作者特别注意观察了40例确诊患者,其中有杆菌痢疾20名,阿米巴痢疾20名.一般患者自发病起,即饮食不振、随之有腹胀,打嗝,吐酸水,食后胃口饱满感,慢性痢疾患者尤为多见,体检心窝部有压疼,或不适,少量白色舌苔。以上症状在痢疾患者中占87%,剩余13%的患者,无任何胃部症状。在以上痢疾患者中,我们对16例进行了胃酸分析,见一般患者不论空腹胃酸,还是试断餐后的胃酸,其中酸度均较低。63%的患者空腹酸在20度以下,试断餐后1.5小时左右,75%患者最高总酸在50度左右,胃酸中均见有多量粘液。
In our hospital in the summer and autumn of 1958, a large number of patients with dysentery were admitted. In addition to the typical symptoms of common patients, such as abdominal pain, sepsis, tenesmus, and increased number of patients, gastric disfunction symptoms were found in some patients. In particular, observed 40 cases of patients diagnosed, including bacillary dysentery 20, amoebic dystocia 20. General patients from the onset, that diet, followed by abdominal distension, hiccups, spit acid, appetite after eating, Patients with chronic dysentery are more common, physical examination of the Ministry of heart pressure tenderness, or discomfort, a small amount of white tongue. The above symptoms accounted for 87% of patients with dysentery, the remaining 13% of patients without any stomach symptoms. In the above dysentery patients, we conducted a gastric acid analysis of 16 cases, see the general patients, regardless of fasting acid, or try the meal after eating stomach acid, which are low acidity. 63% of patients with empty stomach acid at 20 degrees below the trial of 1.5 hours after eating, 75% of patients with the highest total acid at about 50 degrees, gastric acid were seen in a large amount of mucus.