Of children with bacillary dysentery.doc

 PAGE \* MERGEFORMAT 4 Of children with bacillary dysentery [Keywords:] bacillary dysentery in children Bacillary dysentery, also known as shigellosis, is caused by the shigella an infectious disease, more common in children, often made in summer and autumn. Clinically, fever, abdominal pain, diarrhea, tenesmus and mucus pus and blood it is a sense of features. The basic pathological lesion of the colonic mucosa congestion, edema, hemorrhage and other exudative inflammation. 1 Acute bacillary dysentery 1.1 Acute atypical atypical acute bacillary dysentery in infants more common. More no systemic symptoms, no fever or low fever. Less abdominal pain, diarrhea 3 to 5 times a day. Feces into water or dilute paste, containing a small amount of mucus, but no pus and blood. the left lower quadrant tenderness may have. loss of appetite, and nausea and vomiting. 1.2 typical typical of acute bacillary dysentery bacillary dysentery is characterized by acute rapid onset, fever, abdominal pain, pus and blood will, and had moderate symptoms of systemic poisoning. Diarrhea, or more than ten times a day. Critically ill patients associated with convulsions, headache, aching muscles, it can cause dehydration and electrolyte imbalance. acute toxic bacillary dysentery acute onset, rapid development, body temperature can reach above 40 ℃. pediatric patients with early restlessness, fear, and seizures and so on. small number of children can be manifested as depression, such as lethargy, listlessness, coma or semi-coma, can occur within hours of shock or respiratory failure. Pediatric mainly high fever, convulsions, and the early onset of intestinal symptoms is not obvious. 2, chronic dysentery Chronic treatment of acute bacillary dysentery can not complete, or delayed healed, or start gradually developed mild symptoms and delay disease up to 2 months or more. Dysentery sick way, “fecal - oral” communication, that is, Shigella food contaminated with the stool