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本文对近三年来收治的肠伤寒100例的临床表现及痢特灵治疗效果进行了观察与分析。结果表明,临床不典型肠伤寒较多见,其变异特点:多为不规则热型;特殊中毒状态减少;肝肿大比例明显增高;并发非特异性肝炎及轻度胃炎者多见;血、便培养阳性率大为减少;白血球计数在正常范围者占相当比例(46.7％),降低者占38.7％,少数可增高。认为持续高热、玖瑰疹、特殊中毒状态、脾肿大、相对缓脉五大主征仍为肠伤寒诊断的重要依据,本组100例均采用痢特灵治疗,治愈率达98％,与其它药物相比有药源广、价廉、付作用小等优点,值得推广使用。
In this paper, the clinical manifestations of 100 cases of enteric typhoid fever treated in the past three years and the therapeutic effect of furazolidone were observed and analyzed. The results showed that clinical atypical typhus is more common, and its variation features: mostly irregular heat type; special poisoning state decreased; hepatomegaly was significantly increased the proportion of concurrent non-specific hepatitis and mild gastritis were more common; blood, then Culture positive rate greatly reduced; white blood count in the normal range accounted for a considerable proportion (46.7%) decreased 38.7%, a few can be increased. It is considered that continuous high fever, nine rashes, special poisoning state, splenomegaly, relative slow pulse of the five main symptoms is still an important basis for diagnosis of enteritis, 100 patients in this group were treated with furazolidone, the cure rate was 98%, and other drugs Compared to a wide source of medicine, cheap, pay small advantages, it is worth promoting the use of.