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复发是伤寒的特点,其复发率为10—20%,有的高达28%。复发原因至今还无满意的解释。我院1986年和1987年收治大量伤寒患者,仅血培养阳性的成人患者就有293例,本文分析这些病例,对影响复发的临床因素进行探讨.材料和方法一、病例选择:本组病例为1986年和1987年我院收治的14岁以上伤寒患者,全部经细菌学证实,共293例。19例药敏试验表明对氯霉素敏感;274例对氯霉素和常用治疗伤寒的抗生素耐药。男152例,女141例。80例复发,复发率为27.8%,其中52例为住院治疗期间复发,28例为复发后再次入院。二、收集所有病例,包括复发和非复发者
Recurrence is a characteristic of typhoid fever with a relapse rate of 10-20% and some as high as 28%. Reasons for the recurrence there is no satisfactory explanation. In our hospital in 1986 and 1987 admitted to a large number of typhoid fever patients, only blood culture-positive adult patients there are 293 cases, the analysis of these cases, to explore the clinical factors that affect recurrence.Materials and Methods First, the case selection: the patients in this group 1986 and 1987 admitted to our hospital in patients over the age of 14 typhoid fever, all confirmed by bacteriology, a total of 293 cases. Nineteen susceptibility tests showed chloramphenicol sensitivity; 274 were resistant to chloramphenicol and commonly used antibiotics to treat typhoid fever. There were 152 males and 141 females. 80 cases of recurrence, the recurrence rate was 27.8%, of which 52 cases of recurrence during hospitalization, 28 cases were re-admitted to hospital after recurrence. Second, collect all cases, including recurrence and non-recurrence