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伤寒病以神经精神系统异常为突出表现而被误收入神经科及精神科的病例并不罕见,现将我们所见到的典型病例报道如下。病例简介例1 (以意识障碍为主):女,37岁。因发热两周,意识不清2天入院。起病初期头痛、发热、食欲不振、倦怠,有时恍惚,语无伦次,在外院作脑电图为中等度广泛异常,诊为散发性脑炎,给予地塞米松等治疗,病情日趋严重,意识不清后转入我院。检查:体温39～40℃,深昏迷,无神经系统定位体征,心正常,肺部有少许湿啰音,腹软,肝脾可触及,白细胞计数9.5×
It is not uncommon for typhoid fever to be mistakenly collected in neurology and psychiatry for the prominent neuropsychiatric abnormalities. The typical cases we have seen are reported below. Case Description Example 1 (mainly disturbance of consciousness): Female, 37 years old. Due to fever for two weeks, 2 days admitted to hospital unconscious. Early onset of headache, fever, loss of appetite, fatigue, and sometimes trance, incoherent, the EEG in the outer hospital for a wide range of abnormalities, diagnosed as sporadic encephalitis, dexamethasone and other treatment, the growing serious illness, unconscious After transferred to our hospital. Check: body temperature 39 ~ 40 ℃, deep coma, no signs of nervous system positioning, normal heart, lung a little wet rales, abdominal soft, liver and spleen can reach, white blood cell count 9.5 ×