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近年来非典型伤寒病例日趋多见,往往造成误诊误治。结合笔者多年临床体会,并参考国内外有关文献。对非典型伤寒的临床表现特点,予以简述。近年伤寒临床特征的变迁据国内外文献记述及我科所见病例,近年来伤寒临床特征的变迁有:①急起:国外专著记述1951~1956年伤寒以急性起病者占31.2%,1968~1973年则为52.9%。②寒战:国内报告13例非典型伤寒病人中,7例于起病初(第一周)有明显寒战;
In recent years, atypical typhoid fever cases are more common, often resulting in misdiagnosis and mistreatment. Combined with many years of clinical experience, and reference to relevant literature at home and abroad. The clinical manifestations of atypical typhoid fever are briefly described. Recent changes in the clinical features of typhoid fever According to domestic and foreign literature and cases seen in our department, in recent years the clinical features of typhoid fever changes are: ① rapid onset: foreign monographs 1951 ~ 1956 typhoid fever accounted for 31.2% of acute onset, 1968 ~ In 1973 it was 52.9%. ② chills: domestic reports of 13 cases of atypical typhoid fever patients, 7 cases of early onset (first week) have significant chills;