伤寒是常见的肠道传染病。近年来资料报告伤寒、副伤寒肝肿大发生率高于脾肿大,肝脏损害发生率有高达70.9%者。国内、外作者将伤寒、副伤寒病人并发肝肿大、肝功能损害或肝组织学改变称为:伤寒性肝炎。目前,就此在基层医院认识还不足,加之近十年来伤寒的临床症状有轻化和不典型化的倾向,而早期往往消化道症状较明显,故极易误诊为病毒性肝炎。笔者最近遇到1例,确诊后疗效显著,现浅谈其诊治的体会。患者男性,42岁,住院号00439。因发热、头昏乏力、食欲减退1周,于1987年5月5日来我院就诊,以发热原因待查收住院。查体:体温37℃,脉搏82次,呼吸21次,血压118/82毫米汞柱,发育良好, Typhoid fever is a common intestinal infectious disease. Data in recent years, typhoid fever reported, the incidence of paratuberculosis hepatomegaly than splenomegaly, the incidence of liver damage as high as 70.9%. Domestic and foreign authors will typhoid fever, paratyphoid patients complicated by hepatomegaly, liver damage or liver histology called: typhoid fever. At present, this is not enough understanding of the grass-roots hospitals, coupled with the clinical symptoms of typhoid fever over ten years and tend to be less typical, and early gastrointestinal symptoms tend to be more obvious, it is easily misdiagnosed as viral hepatitis. I recently encountered in 1 case, the diagnosis of significant effect, are now talking about the diagnosis and treatment of their experience. Male patient, 42 years old, hospital number 00439. Due to fever, dizziness, fatigue, loss of appetite for 1 week, in May 5, 1987 came to our hospital for treatment, fever to be admitted to hospital. Physical examination: body temperature 37 ℃, pulse 82 times, breathing 21 times, blood pressure 118/82 mm Hg, well-developed,