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本文分析我院近4年间确诊的11例老年伤寒,并随机抽取同期11例青壮年伤寒作对照,以探讨老年伤寒的临床特点。临床资料一般资料老年组:男4例,女7例;平均年龄65.2岁;体温37.6～40℃;血肥达氏应达伤寒标准6例;其中4例在第3周以上出现阳性;伤寒杆菌培养阳性6例;手术确珍2例;严重、消遥型各1例,轻型2例,普通型7例。对照组:男5例,女6例;平均年龄25.6岁;体温均超过39℃;伤寒杆菌培养阳性9例;血肥达氏反应均达到伤寒诊断标准;11例均为普通型。临床特征老年组与对照组比较,稽留热少,低热多,肝、脾肿大者少。血肥达反应阳性者少,嗜酸细胞直接计数消失者少。并发症老年组有各种并发症10例(90.9%),(其中有二种并发症1例),其中气管炎1例,两下肺
This article analyzes 11 cases of elderly typhoid fever diagnosed in our hospital in recent 4 years, and randomly selected 11 cases of young and middle-aged typhoid fever as controls to discuss the clinical features of elderly typhoid fever. Clinical data General information The elderly group: 4 males and 7 females; mean age 65.2 years; body temperature 37.6 ~ 40 ℃; blood fat Darfur should reach the standard of typhoid 6 cases; 4 cases in 3 weeks or more positive; Salmonella typhi 6 cases were positive; 2 cases were confirmed by surgery, 1 case was serious and one case was remote, 2 cases were light and 7 cases were ordinary. Control group: 5 males and 6 females; average age of 25.6 years; body temperature over 39 ℃; typhoid bacilli culture positive 9 cases; blood fat Dahre’s response to the diagnostic criteria of typhoid fever; 11 cases were common type. Clinical characteristics of the elderly group compared with the control group, missed less heat, low fever, liver, splenomegaly less. Blood fat up to less positive reaction, eosinophil count less disappear. Complications There were 10 cases (90.9%) of various complications in the elderly group (1 of 2 complications), 1 case of bronchitis, 2 cases of lung