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肝肿大为伤寒的常见体征,但对早期出现黄疸HBsAg(+)时,易被误诊为病毒性肝炎。现将我院收治的两例报告如下: 例1 男,18岁,因高热10天伴黄胆,肝功能II20~U、ALT1430~U、TTT4~U、ZnTT4~U、HBsAg(-),由他院拟诊为急性黄疸型肝炎转入我院。体检:T 38.5℃,P 80次/分,巩膜黄染(+),心肺(-),全腹无压痛,肝肋下1.5cm,莫菲氏征(-),脾肋下2cm,余(-)。按急性黄疸型肝炎治疗5天后,体温仍持续在38.5～40℃,精神略萎,巩膜黄染加深,肝脾肿大较前明显,复查肝功能SB144μmol/L、ALT268~U浊絮试验均正常;甲、乙型肝炎血清免疫
Hepatomegaly is a common sign of typhoid fever, but early on when jaundice HBsAg (+), easily misdiagnosed as viral hepatitis. The two cases admitted to our hospital are as follows: 1 male, 18 years old, due to fever for 10 days with jaundice, liver function II20 ~ U, ALT1430 ~ U, TTT4 ~ U, ZnTT4 ~ U, HBsAg He was hospital for diagnosis of acute jaundice hepatitis into our hospital. Physical examination: T 38.5 ℃, P 80 beats / min, sclera yellow dye (+), cardiopulmonary (-), whole abdomen no tenderness, liver ribs 1.5cm, Murphy’s sign -). According to acute jaundice hepatitis treatment for 5 days, body temperature continued at 38.5 ~ 40 ℃, the spirit of atrophy, deepening scleral yellowing, hepatosplenomegaly significantly more obvious, review of liver function SB144μmol / L, ALT268 ~ U turbid flossing test were normal A, Hepatitis B serum immunization