腸毒綜合癥和壞死性腸炎的鑒別診斷

jinnyjinny

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<TD id=content9 vAlign=center><STRONG style="FONT-SIZE: 14px">腸毒綜合癥和壞死性腸炎的鑒別診斷</STRONG></TD></TR>
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<DIV align=right><SPAN class=textbox-label>[ 2008-8-24 17:56:00 | By: <SPAN class=style3>任志玉</SPAN> ]</SPAN></DIV></TD></TR></TBODY></TABLE>
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<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all"><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">1,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">壞死性腸炎是由魏氏梭菌造成的</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">以小腸壞死為特征</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">拌有腹瀉</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">黑色糞便時常有血液</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">死亡速度快</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">有時死前口腔中吐水樣物</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">慢性的逐漸瘦弱貧血</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">剖檢主要病變是在小腸</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">尤其空腸和回腸</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">表現腸管賬大</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">充滿氣體和帶血的內容物</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">腸黏膜充血壞死</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">黏膜上有假膜</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">有時看見穿孔</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">造成腹膜炎</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,<BR>2.</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">腸毒是</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">球蟲</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">腸道需氧菌</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">厭氧菌</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">病毒</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">腸道菌群失調</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">自體中毒</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">營養方面多種因素造成</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">發病初期</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">無明顯癥狀</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">隨后出現水瀉顏色變成黃色</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">淡綠色</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">紅褐色</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">中后期黎明前猝死明顯增多</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">個別出現興奮</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">瘋跑后癱瘓死亡</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">前期十二指腸和空腸黏膜水腫增厚</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">隨后出現麩皮樣死膜</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">內容物蛋清樣</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">膿樣</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">西紅柿樣</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">過料現象嚴重</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">生長緩慢</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">色素沉著障礙</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">脫水</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋體; mso-hansi-font-family: Verdana; mso-ascii-font-family: Verdana">飼料報酬低的特征的疾病</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Verdana">,<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 0.05pt"><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: Times New Roman; mso-bidi-font-size: 12.0pt">3</SPAN><SPAN style="FONT-SIZE: 9pt; FONT-FAMILY: 宋體; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt">，藥物治療，壞死性腸炎，可以用新霉素</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: Times New Roman; mso-bidi-font-size: 12.0pt">+</SPAN><SPAN style="FONT-SIZE: 9pt; FONT-FAMILY: 宋體; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt">甲硝唑</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt"><SPAN style="FONT-FAMILY: Times New Roman; mso-spacerun: yes">&nbsp;&nbsp; ，</SPAN></SPAN><SPAN style="FONT-SIZE: 9pt; FONT-FAMILY: 宋體; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt">如果有枝原體可以用，林可霉素</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: Times New Roman; mso-bidi-font-size: 12.0pt">+</SPAN><SPAN style="FONT-SIZE: 9pt; FONT-FAMILY: 宋體; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt">甲硝唑</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 0.05pt"><SPAN lang=EN-US style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt"><SPAN style="FONT-FAMILY: Times New Roman; mso-spacerun: yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN><SPAN style="FONT-SIZE: 9pt; FONT-FAMILY: 宋體; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt">腸毒綜合癥，克林霉素</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: Times New Roman; mso-bidi-font-size: 12.0pt">+</SPAN><SPAN style="FONT-SIZE: 9pt; FONT-FAMILY: 宋體; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt">甲硝唑</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: Times New Roman; mso-bidi-font-size: 12.0pt">+</SPAN><SPAN style="FONT-SIZE: 9pt; FONT-FAMILY: 宋體; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt">球蟲藥</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></SPAN></TD></TR></TBODY></TABLE>

qiaoqiao

怎么是這樣的啊？。。。。。。。。。。。。。看的一點都不清楚。。。

jinnyjinny

2# qiaoqiao

可能是亂碼了吧。。。。。。。。。。。