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伤寒临床表现已为人们所熟悉。但近年因发病初期用了抗菌药物,使伤寒的症状及典型体征有所改变,呈轻型、多样化表现,这就给诊治带来较大困难。为提高诊治伤寒水平,现就我院1974～77年收治140例伤寒进行总结,并复习文献就有关伤寒的几个问题进行讨论。诊断依据1.流行病学资料。2.临床表现:凡持续一周以上的发热、伴有消化系统症状、肝脾肿大者。3.实验室检查:白细胞总数减少(平均
The clinical manifestations of typhoid fever are already familiar to people. In recent years, however, anti-bacterial drugs have been used in the early stages of the disease to make the symptoms and typical signs of typhoid fever change in light and diversified forms, which brings great difficulties in diagnosis and treatment. In order to improve the diagnosis and treatment of typhoid fever, 140 cases of typhoid fever were treated in our hospital from 1974 to 1977 and reviewed the literature to discuss several issues related to typhoid fever. Diagnostic basis 1. Epidemiological data. 2. Clinical manifestations: Any fever lasting more than a week, accompanied by digestive symptoms, hepatosplenomegaly. 3. Laboratory tests: reduce the total number of white blood cells (average