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1987～1988年本院共收治伤寒患者88例,其中合并急性胰腺炎14例,男女各7例,年龄19～45岁,平均28.7岁,均有发热、相对缓脉、无欲貌等伤寒的临床表现和血肥达氏反应阳性,嗜酸性粒细胞消失。9例血培养阳性。12例合并中毒性肝炎,6例合并中毒性心肌炎,3例伴消化道出血。胰腺炎发病在热程第7～21天,其中9例在第2周发生。伴有上腹疼痛和压痛11例,恶心呕吐2例。尿淀粉酶均大于1000μ/L(苏木杰),12例在热退后第1～6天恢复正常,腹痛随伤寒病情好转而缓解,2例1周后尿淀粉酶未下降,分别死于中毒性休克及肾功能衰竭。本组14例胰腺炎发病
From 1987 to 1988, 88 cases of typhoid fever were treated in our hospital. Among them, 14 cases were complicated with acute pancreatitis. There were 7 males and 7 females, aged 19-45 years (average 28.7 years old). All of them had febrile Clinical manifestations and blood fat Darrets positive reaction, eosinophils disappear. 9 cases of blood culture positive. Twelve cases were complicated with toxic hepatitis, 6 with toxic myocarditis and 3 with gastrointestinal bleeding. Pancreatitis incidence in the hot days 7 to 21 days, of which 9 cases occurred in the first 2 weeks. Eleven cases with abdominal pain and tenderness, nausea and vomiting in 2 cases. Urine amylase were more than 1000μ / L (Sumujie), 12 cases returned to normal after 1 to 6 days, abdominal pain with typhoid improved and relieved, 2 cases 1 week after urinary amylase did not decline, respectively, died of toxic Shock and kidney failure. The group of 14 cases of pancreatitis