肠伤寒穿孔是伤寒病最严重的并发症之一。穿孔后即使得到及时治疗，死亡率仍很高．解放后发病率明显降低，但近年来有增高趋势，临床表现又多不典型，诊断及治疗难以及时准确，因而穿孔后并发症及死亡率较高．我科自1970年以来共收治伤寒穿孔58例，均经手术治疗，现将治疗体会? Intestinal typhoid perforation is one of the most serious complications of typhoid fever. Even after punctures have been treated promptly, the mortality rate is still high. After the liberation of the incidence was significantly reduced, but in recent years there is an upward trend in clinical manifestations and more atypical diagnosis and treatment is difficult to timely and accurate, and thus complications and mortality after perforation higher. Our department since January treat 58 cases of typhoid perforation, both by surgery, now the treatment experience?