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近年来,伤寒的临床表现多不典型,伤寒特异性诊断细菌培养阳性率较低,Widal 反应特异性不强,其它诊断伤寒的实验室检测方法尚未普遍推广,因而误诊率很高。近年来伤寒误诊为其它疾病的报道日益增多,而其它疾病误诊为伤寒的现象未引起足够重视。本文复习文献就1984年2月至1988年4月本院及外院误诊为伤寒的疾病13例分析如下。临床资料一、结核病误诊为伤寒(5例,其中急性血行播散性肺结核3例,结核性胸膜炎、腹腔结核各1例)例1:女,44岁。入院前20天突起寒战、高热,体温波动38～40℃,伴咳嗽。曾咯鲜血一次,约3ml,于某医院按“上感”抗炎治疗未见好转,
In recent years, the clinical manifestations of typhoid fever are mostly atypical. The positive rate of bacterial culture in typhoid fever-specific diagnosis is low, and the specificity of Widal reaction is not strong. Other laboratory tests for typhoid fever detection have not been widely applied, which results in a high misdiagnosis rate. In recent years, the reports of typhoid fever misdiagnosed as other diseases have been increasing, while the misdiagnosis of other diseases as typhoid has not been given enough attention. This article review the literature on February 1984 to April 1988 the hospital and outside the hospital were misdiagnosed as typhoid fever in 13 cases analyzed as follows. Clinical data First, the misdiagnosis of TB as typhoid fever (5 cases, including acute hematogenous disseminated tuberculosis in 3 cases, tuberculous pleurisy, abdominal tuberculosis in 1 case) Example 1: Female, 44 years old. 20 days before admission sudden chills, fever, temperature fluctuations 38 ~ 40 ℃, with cough. Once a little blood, about 3ml, in a hospital by “sense” anti-inflammatory treatment did not improve,