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我院自1994年以来共收治伤寒98例,多为散发伤寒,其中误诊39例,误诊率为39.79％。本文就误诊原因和早期诊断线索等进行分析讨论,旨在提高对本病认识。 1 临床资料 1.1 一般情况:被误诊的39例中,男性18例,女性21例,年龄2～58岁,平均26.8岁,以中青年为主(26/39)。既往有伤寒病史者1例。 1.2 临床表现:①发热:39例均有不同程度发热,中度发热(38.2℃～38.9℃)12例,占30.76％;高热(39℃～40℃)16例,占41.02％;过高热(大于40℃)11例,占28.20％。表现为嗜留热5例,驰张热6例,不规则热24例,回
In our hospital since 1994, a total of 98 cases of typhoid fever were treated, mostly for the distribution of typhoid fever, of which 39 cases were misdiagnosed, with a misdiagnosis rate of 39.79%. This article analyzes the causes of misdiagnosis and early diagnosis clues to improve understanding of the disease. 1 Clinical data 1.1 General situation: Misdiagnosed 39 cases, 18 males and 21 females, aged 2 to 58 years, mean 26.8 years old, mainly young and middle-aged (26/39). In the past a history of typhoid fever in 1 case. 1.2 Clinical manifestations: ① fever: 39 cases of varying degrees of fever, moderate fever (38.2 ℃ ~ 38.9 ℃) in 12 cases, accounting for 30.76%; high fever (39 ℃ ~ 40 ℃) 16 cases, accounting for 41.02%; hyperthermia Greater than 40 ℃) in 11 cases, accounting for 28.20%. Performance of retention of fever in 5 cases, relaxation fever in 6 cases, irregular heat in 24 cases, back