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通常将高热稽留、相对缓脉、玫瑰疹、脾肿大及精神意识障碍视为伤寒五大特征,但近年来伤寒症状多不典型。现将我院1970～1979年收治的108例成人伤寒病例分析如下。女性61例(56%),男性47例(44%),13～30岁73例占68%,60岁以上仅1例,一年四季均有病例,43例发病于7～8月。38例因发热待查或其他感染性疾患(如上感、尿路感染、结核等)诊断而入院,误诊率达35%左右。症状和体征2/3病例缓慢起病,1/3病例起病较急。全部病例都有发热,绝大多数为高热(39°～40℃),少数为中等度发热。呈稽留热者53例(49%),其次为弛张热型和不规则热型。热程3～60天,平均23天左右。临床症状
Breastfeeding is usually high, relatively slow pulse, rose rash, splenomegaly and mental disorders as the five characteristics of typhoid fever, typhoid fever and more in recent years, atypical. Now in our hospital from 1970 to 1979 admitted 108 cases of adult typhoid fever as follows. There were 61 women (56%), 47 men (44%), 73 to 13 years old (68%), and 1 patient over 60 years old (all from year to year), with 43 cases from July to August. 38 cases due to fever pending or other infectious diseases (such as flu, urinary tract infection, tuberculosis, etc.) admitted to the hospital, misdiagnosis rate of about 35%. Symptoms and signs of 2/3 cases of slow onset, 1/3 cases more acute onset. All cases had fever, the vast majority of high fever (39 ° ~ 40 ℃), a small number of moderate fever. Fifty-three patients (49%) were insomnia, followed by relaxation fever and irregular fever. Heat 3 to 60 days, an average of 23 days. Clinical symptoms