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伤寒的临床表现及并发症早已为临床工作者所熟悉,但伤寒病程中并不少见的肝脏损伤,却往往未能得到足够注意和正确的认识。因为在无黄疸时,一般很少考虑到肝损伤,而出现黄疸时就很少考虑到伤寒,且多误诊为其他肝病,以致延误治疗。有鉴于此,我们将两年多来(1978年10月—1980年底)共收治有临床及实验室证据的67例伤寒及副伤寒(伤寒62例,副伤寒5例),有肝功能检查的50例中,可确定有肝损伤的17例,加以整理和讨
The clinical manifestations and complications of typhoid fever have long been familiar to clinicians, but not uncommon liver damage in the course of typhoid fever, but often fail to get enough attention and the correct understanding. Because in the absence of jaundice, seldom take into account the liver injury, and jaundice rarely consider typhoid fever, and more misdiagnosed as other liver disease, resulting in delay in treatment. In view of this, we have treated 67 cases of typhoid fever and paratyphoid fever (62 cases of typhoid fever and 5 cases of paratyphoid fever) with clinical and laboratory evidence over the past two years (from October 1978 to the end of 1980), liver function tests In 50 cases, 17 cases of liver injury were identified and collated and discussed