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我院1979年～1981年共收治伤寒病人105例.其中在院外误诊为其它疾病者26例,占25%;在我院门诊误诊者21例,占20%.伤寒的非典型表现1、起病突然,恶心、呕吐、腹痛、腹胀、腹泻或便秘者3例,其中误诊为胃肠炎者2例.2、有精神神经系统症状者76例.包括乏力、头痛、头晕、表情淡漠者40例,神志恍惚者10例;语言错乱、行为异常者10例;听力障碍者9例,昏迷1例;在病程第2周发生中毒性脑病、感染性精神病及多发性神经炎者各2例.其中误诊为轻精神病10例,中毒性脑病及多发性神经炎者各2例.3、肝脏明显肿大者42例,被误诊为肝炎者5例.其中5例 SGPT 升高,最高值达180单位.3例在高热阶段出现黄疸,黄疸指数最高为47单位.4、类似恶性网状细胞增多症者5例,患者病
From 1979 to 1981, a total of 105 cases of typhoid fever were treated in our hospital, of which 26 cases were misdiagnosed as other diseases outside the hospital, accounting for 25%; 21 cases were misdiagnosed in our hospital, accounting for 20% .Atypical manifestations of typhoid fever 3 cases of sudden, nausea, vomiting, abdominal pain, abdominal distension, diarrhea or constipation, of which 2 were misdiagnosed as gastroenteritis.2, There are 76 cases of neurological symptoms, including fatigue, headache, dizziness, indifference 40 Cases, 10 cases of delirium; language disorders, abnormal behavior in 10 cases; 9 cases of hearing loss, coma in 1 case; in the second week of the course of toxic encephalopathy, infectious psychosis and multiple neuritis in 2 cases. Misdiagnosed as mild psychosis in 10 cases, 2 cases of toxic encephalopathy and polyneuritis.3, Significant liver enlargement in 42 cases, misdiagnosed as hepatitis in 5 cases.Of 5 cases of SGPT increased, the highest value of 180 Units.3 cases of jaundice in the high fever stage, jaundice index up to 47 units.4, 5 cases of malignant reticulocytosis in patients with disease