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近年来我们在临床上遇到一些伤寒患者,病情重笃,临床表现特殊且有各种少见并发症,常易误诊为其他疾病,现予介绍。例1 女,15岁。因发热两周伴右上腹痛和黄疸一周于1981年8月14日入院。起病时有畏寒、乏力、体温高达38.5～41℃。一周后皮肤黄染伴恶心、呕吐。体检:T39.4℃,P98。热性面容,皮肤巩膜明显黄染,心肺正常,肝肋下4.5cm,剑突下5.5cm,脾肋下1.5cm。白细胞5200,分类正常。嗜酸性粒细胞计效为0。II45u,VDB双相反应,
In recent years, we encounter some typhoid fever patients in clinical trials, the condition of Atsu, clinical manifestations and a variety of rare complications, often misdiagnosed as other diseases, is introduced. Example 1 Female, 15 years old. Two weeks due to fever with right upper quadrant pain and jaundice a week in August 14, 1981 admission. Chills onset, fatigue, body temperature up to 38.5 ~ 41 ℃. A week after the skin yellow dye with nausea and vomiting. Physical examination: T39.4 ℃, P98. Hot face, the skin sclera obvious yellow dye, normal heart and lung, liver ribs 4.5cm, xiphoid 5.5cm, spleen rib 1.5cm. White blood cells 5200, normal classification. Eosinophil efficacy was zero. II45u, VDB biphasic reaction,