论文部分内容阅读
近年来伤寒病例中肝大及肝功损害已引起临床上的注意。我院自1970.1.～1985.12.共收治伤寒,副伤寒34例,(伤寒28例,副伤寒甲3例,副伤寒乙3例)。对此34例的肝脏情况作一简单的分析。 一、临床资料 (一)病例选择 1.符合伤寒的临床表现如发烧,缓脉,玫瑰疹,腹胀、表情淡漠等。 2.周围血象白细胞总数低,血清肥达氏反应阳性滴度O 1:80、H 1:160以上,随着病程发展,凝集效价迅速递增。 3.血液、骨髓、皮疹、粪便或尿中有一项或一项以上伤寒或副伤寒杆菌培养为阳性。 4.排除病毒性肝炎和其他原因引起的肝损伤,近期五肝炎接触史及输血史,既往无伤
In recent years, cases of typhoid fever and liver damage have caused clinical attention. Our hospital since 1970.1 ~ 1985.12. A total of 34 cases of typhoid and paratyphoid, (typhoid 28 cases, 3 cases of paratyphoid, paratyphoid B 3 cases). In this 34 cases of liver conditions for a simple analysis. First, the clinical data (A) case selection 1 in line with the clinical manifestations of typhoid fever, slow pulse, rose rash, bloating, apathy and so on. 2. Peripheral blood leukocytes in the total number of low, serum fat Dahrends positive titer O1: 80, H1: 160 or more, with the course of the disease, the rapid increase in agglutination titer. 3. One or more of typhoid or paratyphoid bacilli are positive for blood, bone marrow, rash, excrement or urine. 4. To exclude viral hepatitis and other causes of liver damage, recent history of exposure to hepatitis and transfusion history, no previous injury