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我院1986年2月～1990年2月,在住院病人中,将资料完整的79例伤寒进行了发热期、恢复期血小板计数变化的观察。现报告如下。临床资料1.一般资料:79例伤寒男55例,女24例。年龄最大者63岁,最小者9岁。其中10岁以下者4例,10～19岁30例,20～29岁29例,30～39岁12例,40～49岁2例,50岁以上2例。2.诊断标准:结合本院实际情况,凡具有下列各项的主要条件及3项次要条件,并能排除其他发热疾病者,诊断伤寒。主要条件:持续发热1周以上(热型不定)、血培养有伤寒杆菌生长或肥达氏反应阳性(“O”1:80以上,“H”1:160以上)。次要条件:①全身中毒症状:表情淡漠、神志迟钝,听力减退、谵妄等。②相对缓脉。③肝脾肿大及消化道症状。④白细胞减少及(或)嗜酸性粒细胞消失。
In our hospital from February 1986 to February 1990, inpatients, the 79 cases of complete data of typhoid fever fever, convalescent observation of platelet count changes. The report is as follows. Clinical data 1. General information: 79 cases of typhoid male and 55 cases, 24 females. The oldest is 63 years old, the youngest is 9 years old. Among them, 4 were below 10 years old, 30 cases were from 10 to 19 years old, 29 cases were from 20 to 29 years old, 12 cases were from 30 to 39 years old, 2 cases were from 40 to 49 years old and 2 cases were over 50 years old. 2. Diagnostic criteria: combined with the actual situation in our hospital, where the following conditions are the main and three secondary conditions, and can rule out other febrile illness, the diagnosis of typhoid fever. MAIN CONDITIONS: Persistent fever for more than 1 week (variable fever type), Salmonella typhi growth or Widal reaction positive in blood culture (“O” 1:80 or more, “H” 1: 160 or more). Secondary conditions: ① systemic symptoms of poisoning: apathy, stamina, hearing loss, delirium and so on. ② relatively slow pulse. ③ hepatosplenomegaly and gastrointestinal symptoms. ④ leukopenia and (or) eosinophils disappear.