247例细菌性痢疾的临床特征及流行病学分析

Clinical features and epidemiological analysis of 247 cases of bacillary dysentery

目的了解细菌性痢疾的临床特征及流行病学特点。方法分析2014年1-12月收治的247例细菌性痢疾疫情资料。结果本组患者男138例,女109例,5-10月份共收治185例(74.9%);职业构成以儿童、学生为主,共155例(62.8%);242例出现腹泻,其中黏液脓血便149例(60.3%);243例(98.4%)大便镜检发现白细胞;194例(78.5%)血常规检查显示白细胞增加。结论该地区细菌性痢疾好发于儿童、学生,大便和血常规检查有助于本病诊断。

Objective To study the clinical and epidemiological characteristics of bacterial dysentery. Methods The epidemic data of 247 patients with bacterial dysentery were analyzed from January to December 2014. Results There were 138 males and 109 females. This disease often occurred in children and pupils（155 cases, 62.8%）, and between May and October（185 cases, 74.9%）. Diarrhea and bloody mucopurulent stool was seen in 242（98.0%） and 149（60.3%） cases, respectively. Fecal and blood leukocytosis was found in 243（98.4%） and 194（78.5%） cases, respectively. Conclusion Bacterial dysentery is commonly seen in children and pupils in our district. Stool and blood routine examination is helpful for the diagnosis of this disorder.