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一般认为伤寒性肝炎发生率为1～3％,近年来有增多趋势。我院最近收治一例:男性,32岁。因畏寒发热伴全身不适半月,于1985年5月8日入院,四月下旬因受凉起病。T40℃,P 120次/分,BP 70/60。表情淡漠,反应迟钝,听力减退。背部可见数枚充血性丘疹。心音低钝,肝剑下2cm,质中,有压痛。脾肋下1 cm。WBC4100,中性58％,Hb11.5g。尿蛋白((?)),肝功能:SGPT165—527u,TTT6 u,TFT(-)。HBsAg 三次均阴性(R—PHA 法),蛋白电泳正常,血培养有伤寒杆菌生长。肥达氏试验伤寒“O”
Generally believed that the incidence of 1 to 3% of typhoid hepatitis, in recent years there is an increasing trend. Our hospital recently admitted a case: male, 32 years old. Due to chills and fever with malaise, was admitted on May 8, 1985, due to cold onset in late April. T 40 ° C, P 120 bpm, BP 70/60. Indifferent expression, unresponsive, hearing loss. Several congestive papules can be seen on the back. Low heart sound blunt, liver sword 2cm, quality, tenderness. Spleen ribs 1 cm. WBC4100, neutral 58%, Hb 11.5 g. Urinary protein (?), Liver function: SGPT165-527u, TTT6u, TFT (-). HBsAg three times were negative (R-PHA method), protein electrophoresis normal blood culture with Salmonella typhi growth. Watson test typhoid “O”