男性,26岁。到沿海旅游,因进食过海产品,餐后4h突然发热、剧烈腹痛、腹泻、呕吐,大便10余次,呈血水样,偶有粘液血性,无里急后重住院。体检:轻度脱水征,...

作者: rantiku 人气: - 评论: 0
问题 男性,26岁。到沿海旅游,因进食过海产品,餐后4h突然发热、剧烈腹痛、腹泻、呕吐,大便10余次,呈血水样,偶有粘液血性,无里急后重住院。体检:轻度脱水征,BP12/8kPa(90/60mmHg),腹软有压痛。化验:大便光镜检WBC58/HP,RBC1025/HP,最可能诊断是
选项 A.霍乱 B.副霍乱 C.沙门菌食物中毒 D.副溶血弧菌食物中毒 E.细菌性痢疾 细菌感染(A1型题2)
答案 D
解析 :厌氧菌侵入途径为肠道,女性生殖道及褥疮等,经阴道手术及不洁流产尤易发生,临床特点为分泌物中有腐败性臭味,常有黄疸及贫血,易形成迁徙性损害。本例符合厌氧菌败血症,肝肿大,肝功能损害,黄疸,提示肝有迁徙性病灶。

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