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1990年8～9月,驻军某部因水源污染,致部分官兵家属伤寒暴发性流行。经北京市卫生防疫站鉴定为(?)_1型伤寒杆菌。现将临床资料较完整的70例报告如下。临床资料 70例伤寒中,男53例,女17例,年龄1.5～64岁,平均年龄21.3岁,全部病人既往健康,仅9名新兵有伤寒副伤寒疫苗接种史。一、主要症状和体征发热70例(100%),相对缓脉14例(20.0%),表情淡漠1例(1.4%),肝脾肿大3例(4.3%),右下腹压痛14例(20.0%),双下肢肌肉疼痛5例(7.1%),关节疼痛3例(4.3%),鼻衄4例(5.7%),腹痛7例(10.0%)腹泻14例(20.0%),耳聋2例(2.9%),头痛49例(70.0%),恶心呕吐14例(20.0%),咳嗽流涕11例(15.7%),全口牙痛2例(2.9%),肠出血7例(10.0%),肠穿孔1例(1.4%)。
From August to September 1990, some troops stationed in the army were polluted by water sources, causing some typhoid fever among some officers and men. The Beijing Municipal Health and Epidemic Prevention Station identified as (?) _1 Salmonella typhi. Now more complete clinical data of 70 cases are as follows. Clinical data 70 cases of typhoid fever, 53 males and 17 females, aged 1.5 to 64 years old, with an average age of 21.3 years old, all patients in the past healthy, only 9 recruits with typhoid fever vaccination history. First, the main symptoms and signs of fever in 70 cases (100%), relatively slow in 14 cases (20.0%), indifferent expression in 1 case (1.4%), hepatosplenomegaly in 3 cases (4.3%), right lower quadrant tenderness in 14 cases 20.0%), 5 cases of bilateral lower extremity muscle pain (7.1%), 3 cases of joint pain (4.3%), 4 cases of epistaxis (5.7%), 7 cases of abdominal pain (10.0%), 14 cases (2.9%), headache 49 cases (70.0%), nausea and vomiting in 14 cases (20.0%), cough and runny nose in 11 cases (15.7% ), Intestinal perforation in 1 case (1.4%).