近年我科以多发性浆膜腔积液入院,最后确诊伤寒患儿3例,报告如下。 1.临床资料 本组3例男性,10岁1例,6岁2例。3例均以发热起病,体温持续于39℃左右。2例于发热4～5天出现腹痛、腹胀;另1例于第三周出现腹部胀痛。3例均无气促、呼吸困难等胸腔积液的临床表现。 查体:精神差,表情淡漠,呼吸平,无紫绀,胸部患侧叩诊浊音,语颤及呼吸音低,腹部稍膨隆,腹壁静脉显露,腹软、全腹轻压痛,移动性浊音(+)。B超及胸x线 In recent years, our department to multiple serous effusion admission, the final diagnosis of typhoid children in 3 cases, the report is as follows. 1. Clinical data The group of 3 men, 10-year-old in 1 case, 6-year-old in 2 cases. 3 cases were fever onset, body temperature continued at about 39 ℃. 2 cases had abdominal pain and bloating 4 to 5 days after fever; the other 1 case had abdominal pain in the third week. No cases of three cases of shortness of breath, dyspnea and other clinical manifestations of pleural effusion. Physical examination: poor spirit, indifferent expression, flat breathing, no cyanosis, percussion dullness on the affected side of the chest, low vocal acuity and low breath sounds, slightly bulging abdomen, ventral abdominal veins, abdominal softness, . B-ultrasound and chest X-ray