近年来由于抗菌药物的早期应用及耐药菌株的产生,在临床症状和体征方面与以往传统的认识有所差异。总的看来伤寒临床有轻化趋势,易导致误诊与漏诊。现就伤寒的临床和治疗动态作简要综述: 一、不典型伤寒的一般临床表现 众所周知,伤寒起病缓慢,体温阶梯上升呈稽留高热,相对缓脉,明显消化道症状,严重毒血症(表情淡漠,重听,谵妄,鼓肠等,玫瑰疹和脾肿大等典型临床表现,在伤寒诊断上仍具有重要意义,但近几年来在临床上发现伤寒有以下几点变异: 1.部分患者起病较急,可伴有寒颤。50—60％为弛张热和不规则热型,其次为稽面 In recent years due to the early use of antibacterial drugs and drug-resistant strains of clinical symptoms and signs with the traditional understanding of some differences. In general, typhoid fever tends to be clinically prone to misdiagnosis and missed diagnosis. A brief overview of the clinical and treatment of typhoid fever: First, the general clinical manifestations of atypical typhoid fever is known, the onset of typhoid fever is slow, the body temperature rise was high fever, relatively slow pulse, obvious gastrointestinal symptoms, severe sepsis (expression Apathetic, re-hearing, delirium, drum intestines, etc., typical cases such as roseburn and splenomegaly clinical diagnosis, is still important in the diagnosis of typhoid fever, but in recent years found in clinical trials typhoid have the following variations: 1. Some patients More urgent onset, may be associated with chills .50-60% for the remission fever and irregular heat type, followed by facets