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小儿腹泻的诊断和检查方法(国外英文资料)
小儿腹泻的诊断和检查方法
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Diagnostic and examination methods for pediatric diarrhoea
Note the identification of the following diseases:
Physical diarrhea
The childs appearance is fat, and soon after birth, the number of bowel movements is more, thin and golden, but no vomiting, and weight gain is normal. After addition, the stool gradually became normal.
Acute necrotic colitis
Infection and allergy are important factors in the disease. The disease has five symptoms: diarrhoea, bloating, blood flow, high fever and vomiting. The stool is a water sample at the beginning of the stool, and then it turns dark red, jam, or blood, and the swelling is much more severe, but it can shock early, even coma and convulsions.
Acute bacterial dysentery
Summer incidence is high, the child has a history of unclean food, incubation period 24 ~ 72h. Most of the patients are in acute disease, high fever, abdominal pain, vomiting, diarrhea, and heavy weight in the back of the stool, and the bowel movements are more mucous and the number of defecation is more than 10 times a day. There are symptoms of high fever, drowsiness, coma, and even shock. The length of the disease varies. Stool culture can be diagnosed.
Method of laboratory examination:
Stool routine examination
Defecate microscopy, pay attention to the presence of pus cells, white blood cells and red blood cells and phagocytes, should also pay attention to the presence of eggs, parasites, fungi spore and hyphae. Sometimes it takes several times to make sense to help the cause of diarrhoeal disease and the diagnosis of the disease.
Stool culture
It is important to determine the case of diarrhoeal disease. In the first time, the fecal culture was low, and it was necessary to do a few more, and the new specimens immediately raised positive detection rate.
Experiment with the condensation of stool
Diagnostic value of certain viral enteritis, such as rotavirus and enteroadenovirus. Good sensitivity and specificity are helpful for the diagnosis o
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