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近年来鼠伤寒沙门氏菌感染(下称鼠伤寒),日渐增多,特殊表现类型亦不断出现。为了吸取教训,提高对特殊不典型病例的诊断水平,现将我院收治的2例败血症型和1例以急性腹膜炎为特征的鼠伤寒误诊情况做一粗浅分析。病例介绍例1 女,15岁。患者于1982年1月6日发冷、发热,体温高达40.2℃,伴噁心、呕吐。1月9日晚出现烦躁、心悸,急诊入当地卫生院。卫生院测血压为“0”,经抗休克抢救后于1月10日转入本院。查体:体温39℃,脉搏132次,血压60/40毫米汞柱。躁动不安,颜面及周身皮肤潮红,左足背及右足小趾
In recent years, Salmonella typhimurium infection (hereinafter referred to as typhoid fever), increasing, the special performance types are also emerging. In order to learn the lesson and improve the diagnosis of atypical cases, we analyzed two cases of sepsis in our hospital and one case of misdiagnosis of typhoid fever characterized by acute peritonitis. Case description 1 female, 15 years old. Patients on January 6, 1982 chills, fever, body temperature up to 40.2 ℃, with nausea, vomiting. January 9 appeared irritability, palpitations, emergency access to local hospitals. The hospital measured blood pressure “0”, after the rescue by anti-shock on January 10 into the hospital. Physical examination: body temperature 39 ℃, pulse 132 times, blood pressure 60/40 mm Hg. Restless, face and body skin flushing, left foot and right foot small toe