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近年来由于对未明原因的发热患者广泛应用抗生素,致影响部分伤寒患者的病原学诊断,造成部分伤寒杆菌的变异和耐药菌株的出现。此外伤寒的肠外并发症亦有增加趋势,现就有关问题简述如下.一、伤寒的诊断1.Widal 试酸:国外对于Widal 试酸的诊断价值,早有争论.我院对115例经血或骨髓培养证实的伤寒患者进行分析,发现病程中“O”>1:100,“H”>1:200的患者仅81例(70.4%),
In recent years, due to the unexplained fever in patients with extensive use of antibiotics, affecting some of the typhoid patients etiological diagnosis, resulting in some mutations in Salmonella typhi and the emergence of drug-resistant strains. In addition typhoid parenteral complications also increased trend, the relevant issues are summarized as follows: First, the diagnosis of typhoid fever 1.Widal acid test: foreign Widal acid diagnostic value has long been controversial.Our hospital on 115 cases of menstrual blood Or bone marrow cultures confirmed typhoid patients were found in the course of the disease “O”> 1: 100, “H”> 1: 200 only 81 patients (70.4%