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讨论一、本组6例具有持续高热,白细胞减少,肥达氏反应阳性而确诊为伤寒,其中4例以“肝炎”收住(例1、3、4、6),仅有两例以伤寒收住(例2、5)。近年来有不少学者观察到伤寒患者肝大发生率占25—40%。尽管小儿伤寒时肝大常为其主要体征之一,早已引起重视,但伤寒并发肝炎仍易被忽略,究其原因:可能为抗菌素早期应用,往往使伤寒热型受到干扰而不典型。其次伤寒及伤寒并发肝炎时的症状体征均以消化道症状为主要表现,
Discussion First, the group of 6 patients with persistent high fever, leukopenia, Widal’s positive reaction was diagnosed as typhoid fever, of which 4 cases of “hepatitis” to receive (cases 1,3,4,6), only two cases of typhoid fever Check in (example 2, 5). In recent years, many scholars have observed the incidence of typhoid fever accounted for 25-40% of patients. Although childhood liver typhoid is often one of the main signs of typhoid fever, which has drawn great attention, typhoid fever and hepatitis are still easily ignored. The reason may be the early application of antibiotics, which often make the typhoid fever type disturbed but not typical. Second, the symptoms and signs of typhoid and typhoid complicated by hepatitis are mainly gastrointestinal symptoms,