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伤寒并发急性胰腺炎病人罕见,教科书缺乏这方面的记载.本人曾诊治1例,报告如下.患者,男,38岁,农民.因发热10天伴左上腹剧痛3天,于1997年3月4日来院诊治.患者于10天前开始发热,体温逐日升高,尤以夜间最高,在院外治疗无效.近3天体温保持在39℃左右,且出现左上腹部胀痛,大便次数增多(约3～4次/d),稀便.2天前上腹部偏左侧疼痛加剧,呈持续性疼痛,并放射至左侧腰背部,有时恶心、呕吐.既往无上腹部疼痛史及黄疸病史.体检:体温39.2℃.脉搏74次/min,血压16/8kPa,神清,表情淡漠.心肺无异常,腹软;左上腹有明显压痛,无反跳痛.肝脾肋下未扪及.血红蛋白140g/L,白
Typhoid fever complicated by acute pancreatitis patients rare textbooks lack of records in this regard I have a diagnosis and treatment, the report is as follows.Patients, male, 38 years old, peasants due to fever for 10 days with left upper quadrant pain for 3 days in March 1997 4 days to hospital for treatment.Patients began to fever 10 days ago, body temperature increased day by day, especially at night, in the hospital treatment ineffective. Nearly 3 days body temperature maintained at about 39 ℃, and the left upper abdominal pain, stool frequency increased 3 to 4 times / d), loose stool .2 days ago on the left side of the upper abdominal pain intensified, persistent pain and radiation to the left lower back, sometimes nausea and vomiting .Previous history of upper abdominal pain and jaundice. Physical examination: body temperature 39.2 ℃. Pulse 74 times / min, blood pressure 16 / 8kPa, Shen Qing, expression indifferent. Cardiopulmonary no abnormalities, abdomen soft; the left upper quadrant was tenderness, no rebound tenderness. 140g / L, white