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本文报告肠伤寒135例临床分析结果。135例中青壮年居多,8～10月份为流行季节高峰,75％为散发。轻型108例,昏迷谵妄者5例。脾肿大、玫瑰疹、相对缓脉临床较少见。末梢血白细胞检查60％在正常范围。肥达氏反应阳性率为100％,其中第一周阳性率为20.3％,第二周阳性率为79.7％。表明,近年来肠伤寒的临床表现趋于向轻型转化,病程多不典型。肥达氏反应对伤寒疑似病例的早期诊断具有特殊参考价值。氯霉素、复方新诺明仍为治疗肠伤寒的首选药物。
This article reports the clinical analysis of 135 cases of typhus. 135 middle-aged and young mostly, 8 to October for the peak season, 75% for the distribution. 108 cases of light, coma delirium in 5 cases. Splenomegaly, roseola, relative slow pulse clinical less common. 60% of peripheral blood leukocytes in the normal range. The positive rate of Widal reaction was 100%, of which the positive rate was 20.3% in the first week and the positive rate in the second week was 79.7%. Show that in recent years, the clinical manifestations of enteric typhoid tends to light-type transformation, the course of atypical. Widal response to early diagnosis of suspected cases of typhoid fever with special reference value. Chloramphenicol, cotrimoxazole compound is still the first choice for the treatment of typhoid fever.