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近年来,伤寒的临床表现变异很大,以致误诊误治屡有发生。为了吸取教训、提高不典型伤寒的诊断率,现从我院几年来误诊的病例中,选择32例有代表性者,分析讨论如下:临床资料本组32例均系依据细菌培养和肥达氏反应结果而确诊者。性别:男19,女13;年龄:8—44岁;发病至确诊时间:5—40天。确诊前曾分别被误诊为:急性上呼吸道感染,肺炎,风温热,病毒性肝炎,病毒性心肌炎,非特异性脑炎,脑脊髓膜炎,急性阑尾炎,胆囊炎,肝脓肿,膈下脓肿,恶组,等疾病。
In recent years, the clinical manifestations of typhoid vary greatly, resulting in misdiagnosis often occur. In order to learn lessons and improve the diagnosis of atypical typhoid fever, now from our hospital misdiagnosed cases in recent years, select 32 cases were representative, analysis and discussion are as follows: Clinical data of the 32 cases are based on bacterial culture and Widal The result of the reaction was confirmed. Gender: Male 19, Female 13; Age: 8-44 years old; The onset to diagnosis time: 5-40 days. Before the diagnosis were previously misdiagnosed as: acute upper respiratory tract infection, pneumonia, fever, viral hepatitis, viral myocarditis, non-specific encephalitis, meningitis, acute appendicitis, cholecystitis, liver abscess, subphrenic abscess, Evil group, and other diseases.