首页> 外文期刊>Military Medicine: Official Journal of AMSUS, The Society of the Federal Health Agencies >Clinical treatment of nondysentery travelers' diarrhea during deployment.
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Clinical treatment of nondysentery travelers' diarrhea during deployment.

机译:部署过程中非痢疾旅行者腹泻的临床治疗。

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摘要

A 26-year-old male active duty USMC First Lieutenant, on his first deployment to Iraq, presented to the medical clinic with one and a half days of loose stools. Over the previous 24 hours he reported four liquid bowel movements without gross blood. He also reported nausea without vomiting, abdominal cramping, and a headache. He denied any fever, chills, or night sweats. The patient had been in theater for approximately 4 months, and 2 days before his symptoms began he had the opportunity to sample the local cuisine. He denied known infectious contacts, use of any self-treatment, or any comorbid illnesses. On exam he was afebrile, his blood pressure and pulse were 128/82 and 84 while seated and 110/75 and 101 after standing for 3 minutes with lightheadedness. Respirations and oxygen saturation were within normal limits. Mucous membranes were slightly dry. Abdominal exam was benign except for mild diffuse tenderness. Skin turgor was normal. What is the best management for this case?
机译:一名26岁的男性现役USMC第一中尉在他第一次部署到伊拉克时,带着一整天半的稀便来到了医疗诊所。在过去的24小时内,他报告了四次液体排便而无大血。他还报告恶心,没有呕吐,腹部绞痛和头痛。他否认发烧,发冷或盗汗。该患者在剧院里待了大约4个月,在症状开始前2天,他有机会品尝当地美食。他否认已知的传染性接触,使用任何自我治疗或任何合并症。体格检查检查他有发热,坐着时血压和脉搏分别为128/82和84,头晕站立3分钟后,血压和脉搏分别为110/75和101。呼吸和血氧饱和度均在正常范围内。粘膜稍干。除轻度弥漫性压痛外,腹部检查为良性。皮肤膨大是正常的。这种情况下最好的管理方法是什么?

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