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本文对我院1972～1983年经细菌学确诊的90例伤寒患者的实验室资料作一分析.目前本病实验室诊断主要仍靠细菌培养.本组病例血及骨髓培养的阳性率分别为83%及90%,骨髓阳性持续时间较血为长.氯霉素高敏株占72.6%,耐药株仅占4.8%,故仍为治疗本病的首选药物.本组肝功能异常者占50%,其中3例肝活检病理改变均为非特异性反应性肝炎.本组肥达氏反应阳性率为76.1%,故结合临床表现,流行病学资料对诊断仍有辅助价值.
In this paper, our hospital from 1972 to 1983 confirmed by bacteriological 90 cases of typhoid fever in patients with laboratory data for an analysis of the current laboratory diagnosis of the disease still rely mainly on bacterial culture in this group of patients with blood and bone marrow culture positive rates were 83 % And 90%, bone marrow-positive longer than the blood for chloramphenicol-sensitive strains accounted for 72.6%, resistant strains accounted for only 4.8%, it is still the drug of choice for the treatment of this disease, liver dysfunction accounted for 50% , Of which 3 cases of pathological changes of liver biopsy are nonspecific reactive hepatitis.This group of Widal reaction positive rate was 76.1%, so combined with clinical manifestations, epidemiological data on the diagnosis is still ancillary values.