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伤寒病程中并发黄疸者近年来之文献中计有:李尚举报告在342例伤寒病人中5例有黄疸及肝肿大,平均发生于病后之第13日。靳来川报告在101例伤寒中有一人并发黄疸。(?)文寿报告在沙门氏菌属感染147例中鼠份寒沙门氏菌感染内1例有黄疸;猪霍乱沙门氏菌感染中2例新生儿在败血病过程中出现黄疸。由此着来伤寒病程中由于内毒素损伤肝脏而引起肝细胞相应损害甚至发生中毒性肝炎,虽然所占比例很小,仍然是可能的。我院1959年曾收治三例伤寒、付伤寒病人,他们的整个病程有并发中毒性肝炎的可能。现仅附一个病历摘要作参考:患者芦某,男性,20岁,湖北籍,战士。1956年11月5日以发冷发烧全身乏力小便色泽加深已6日之主诉入院。患者10月31日随队野营演习归来即突有发冷、发烧、全身乏力、恶心、呕吐、胃纳减退等不适。体温持续一、二天后自行下降,恶心呕吐持续三夭后方渐次减轻,但疲倦无力、食欲不振、
Jaundice in the course of typhoid fever in recent years in the literature are: Li Shangju reported 342 cases of typhoid fever in patients with jaundice and hepatomegaly, the average occurred in the 13th day after the disease. Jin Lai Chuan reported in 101 cases of typhoid fever complicated by jaundice. (?) Wen-Shou reported 1 case of jaundice in 147 Salmonella typhimurium infected Salmonella infections and 2 cases of neonatal cholera Salmonella infection in jaundice. Therefore, the pathogenesis of typhoid due to endotoxin damage to the liver caused by the corresponding damage caused by liver cells or even toxic hepatitis, although a small proportion, it is still possible. Our hospital in 1959 had three cases of typhoid fever, typhoid fever patients, their entire course of the disease may be complicated by toxic hepatitis. Now with only a summary of medical records for reference: patients Lu Mou, male, 20 years old, Hubei nationality, soldiers. November 5, 1956 to cold fever, weakness, urine, deepened the body has been the main complaint on the 6th admission. Patient camp camp returned on October 31 with sudden cold, fever, malaise, nausea, vomiting, loss of appetite and other discomfort. Body temperature continued to fall one after two days, nausea and vomiting gradually reduce after three days, but fatigue, weakness, loss of appetite,