急性阑尾炎术后继发严重腹泻并发症的中西医治疗

急性阑尾炎术后继发严重腹泻并发症在临床上虽不多见，但一旦发生常给患者术后恢复及生活质量带来较大影响。我院自2002年10月-2005年12月共进行阑尾切除术324例，其中术后发生严重腹泻并发症29例，经采用中西医结合治疗取得满意效果。现报告如下：     

中药敷脐治疗婴幼儿单纯性腹泻43例

婴幼儿单纯性腹泻是小儿常见病，发病率较高。由于小儿服药比较困难，近年来临床上对婴幼儿单纯性腹泻多采用中药外治疗法治疗，既简单方便，又无痛苦，易使患儿接受，加之经济实惠，疗效好，也为家长所乐道。近年来，笔者采用中药敷脐治疗本病43例，疗效满意，并与口服西药治疗的28例进行对照观察，现报告如下。     

番石榴叶治疗婴幼儿诺瓦克样病毒腹泻20例

目的研究中药番石榴叶对诺瓦克样病毒（NVLs）腹泻的治疗作用。 方法按序贯试验方法设计试验，按就诊顺序对NVLs腹泻患儿口服番石榴叶颗粒，2.0 g·d^-1，一次服用，连续服用3 d，观察至20例患儿时，试验中止。 结果有效率80.0%。结论番石榴叶对NVLs腹泻疗效较好。     

2006至2008年山西省太原市古交地区感染性腹泻流行情况分析

目的为了解本地区感染性腹泻流行特点极其变化规律。方法采用描述流行病学的方法对山西省太原市古交疾控中心收到的疫情报告资料进行了统计分析。结果发病高峰在9～12月份,最高为12月份,3年总病例数为3074例,病毒感染性腹泻以≤5岁儿童为主,3年为1531例,占总数的51.12%,细菌感染性腹泻以城乡结合部的寄宿制学生为主,占总数的29%,细菌以沙门菌、大肠埃希菌为主,病毒感染以诺如病毒、轮状病毒为主。结论除霍乱,伤寒,副伤寒及痢疾外的感染性腹泻发病率仍然较高,且呈上升趋势,并出现了新的流行规律及特点,导致爆发的因素仍然存在,因此防治感染性腹泻的策略及措施应不断加强和改善。     

DETECTION OF HIGH-PATHOGENICITY ISLAND-HARBORING ESCHERICHIA COLI ISOLATED FROM CHILDREN WITH DIARRHEA DISEASE IN CHINA

[Objective] To investigate the etiologicla status of etiologica status of high-pathogenicity island-harboring Escherichia coil(HPIEC) in dianhea disease among children. [Method] Diarrheagenic Esoherichia coli was isolated and identified from the stool specimens of 1032 children with dianhea diseases by culturing, serotyping, Polymerase chain reaction amplification (PCR), the High-pathogenicity island-harboring Esoherichia coli (HPIEC) was identified by PCR and in situ hybridization. [Results] A total of 652 strains of E.coli isolated from 1032 stool specimens and confirmed by serotyping, PCR and colony hybridization out of which 225 were identified as diarrheagenic E.coil,including 20 EPEC,81 ETEC, 47 SLTEC, 74 ESIEC, and 3 EIEC strains. 112(17.2%)irp2 virulent gene positive E.coli (HPIEC) were detected from the 652 strains, out of which 24 were from the 74 ESIEC strains and 17 from the 47 SLTEC strains. The typical clinical symptoms of children with diarrhea disease caused by HPI- harboring E.coli included anorexia(87.5%) ,abdominal pain(58.0%), diarrhea (75.9%,Over six episoders, mostly of mucous stool a day), and fever(50.9%). [Conclusion] High-pathogenicity island-harboring E.coli is one of the important pathogens of diarrhea diseases in children.     

苍耳草金樱子煎剂治小儿腹泻

苍耳草金樱子煎剂治疗小儿腹泻，尤其是迁延性腹泻病程在2周～2个月者效果较好，现介绍如下。     

旅途腹泻对因选药

温馨提示:“十一”长假将临,您是否又在为旅行考虑路线和行程?如果您要远行,可千万不能忽视旅行中常见疾病的防治。腹泻,就是人们旅行途中最常碰到的健康问题之一,让人极为扫兴。那么,如果万一发生旅行性腹泻,该怎么办呢?