【摘要】 目的 分析儿童中毒型菌痢的临床特点，寻找早期诊断及治疗的重要性。方法 回顾分析1998年6月～2002年6月我院收治20例中毒型菌痢患儿的临床资料。结果 20例中14例(70%)疑似乙型脑炎，6例(30%)疑似败血症。结论 中毒型菌痢多见于2～7岁的儿童，夏季发病，起病急骤，高热40℃，反复惊厥，嗜睡昏迷，迅速发生休克和呼吸衰竭，而肠道症状较轻，甚至无腹痛与腹泻，往往要用直肠拭子或生理盐水灌肠，采取大便检查才发现黏液，显微镜下可见大量脓细胞和红细胞，可作为诊断主要依据。大便培养分离出志贺菌属痢疾杆菌可确诊。

    【关键词】 中毒型菌痢；儿童；休克；直肠拭子

    Diagnosis and treatment of toxemic bacillary dysentery:a report of 20 cases

    LEI Qing，LIU Rong-zhen.

    Xian’an Maternal and Infant Health Care Hospital，Hubei 437000，China

    【Abstract】 Objective To analyse the features of toxemic bacillary dysentery in childen and look for the importance of early chiagnasls and treatmert methods.Methods Reivew the clinic information of twenty children underwent the illness，in my hospital from June 1998 to July 2002 . Results 70% of the 20 children are suspected to suffer from encephalitis B，30% of seem to (in) under go seplicemia.Conclusion Children aged from two to seven are more suscepitible to the disease ......