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近年来不少作者相继报道由于肠伤寒临床不典型而被误诊。我院1987～1988年收治91例。城镇40例、农村51例;男49例、女42例;年龄14～67岁,平均40岁;工人35例,农民25例,其他31例。全年均有散发、以夏秋季多见。60例均有发热,伴畏寒、寒战68例,腹痛、腹泻14例,鼻塞、咳嗽、咽痛伴咽充血等上呼吸道感染(上感)表现55例,肝大50例,脾大31例。实验室检查:血象白细胞数小于5×10~9/L50例,所有病例嗜酸性粒细胞减少或消失91例。伤寒杆菌培养血或骨
In recent years, many authors have been reported as a result of intestinal atypical clinical typhus was misdiagnosed. Our hospital from 1987 to 1988 admitted to 91 cases. 40 in urban areas and 51 in rural areas; 49 were males and 42 were females; the average age was 14 to 67 years old, with an average age of 40 years; 35 workers, 25 peasants and 31 others. Distributed throughout the year, more common in summer and autumn. All of the 60 cases had fever, chills and chills in 68 cases, abdominal pain and diarrhea in 14 cases, nasal obstruction, cough, sore throat and pharyngeal congestion and other upper respiratory tract infections (Sense) showed 55 cases, 50 cases of hepatomegaly, 31 cases of splenomegaly . Laboratory tests: white blood cell number less than 5 × 10 ~ 9 / L50 cases, all cases of eosinophils decreased or disappeared in 91 cases. Salmonella typhi culture of blood or bone