论文部分内容阅读
副伤寒丙(简称副丙)临床表现多样,常被误诊,现将我院患者中临床表现特殊,且经病原学证实确诊的30例报告如下。本组系我院30年来住院的副丙患者,住院时分别诊断为病毒性肝炎、风湿病等9种发热性疾病,后经血、骨髓、粪、尿、心包液培养证实而确诊.其中男18例,女12例,男:女为3:2,年龄最小8个月,最大30岁,17～30岁21例,以青壮年为主.发病季节多集中在7～9月.肝炎型共7例,5例起病酷似急黄肝,1例有发热、黄疸、出血皮疹、昏迷,诊为急重肝,1例发热、黄疸、肝脾大、腹水征阳性而诊为慢活肝.后均经血、骨髓培养证实而确诊.伤寒型7例,症状重、热程长,具典型伤
Paratyphoid C (referred to as deputy C) diverse clinical manifestations, often misdiagnosed, now in our hospital patients with special clinical manifestations confirmed by etiology confirmed 30 cases are as follows. This group of hospitalized in our hospital over the past 30 years of sub-C patients were hospitalized were diagnosed as viral hepatitis, rheumatism and other 9 kinds of febrile diseases, after blood, bone marrow, feces, urine, confirmed by fluid culture confirmed pneumoconiosis. Cases, female 12 cases, male: female 3: 2, the youngest 8 months, a maximum of 30 years old, 17 to 30 years old in 21 cases, mainly young and middle-aged. The onset season mostly concentrated in the 7 to September. One case had fever, jaundice, hemorrhagic rash and coma. The patient was diagnosed as acute severe liver disease. One case had fever, jaundice, hepatosplenomegaly and ascites sign and was diagnosed as slow-living liver. After menstrual blood, bone marrow confirmed the diagnosis and confirmed typhoid type in 7 cases, symptoms, long heat stroke, with a typical injury