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1993年7—9月间,本市某地发生一宗伤寒暴发流行,我院共收治伤寒患者382例,其中小儿患者75例,合并Ⅱ°Ⅰ型AVB 9例,现报告如下: 1 临床资料 1.1 一般资料 9例中男5例,女4例。年龄4—13岁,入院时病程6—12天。既往体健。 1.2 症状与体 征9例病人中都有高热39—40.2度,其中稽留热4例,占22.2％,脉率60—130次/分,呼吸18—24次/分,5例血压偏低(在11—12.5/6—7KPa左右)。9例均表情淡漠,反应迟钝,7例诉有心悸、胸闷,心脏听诊9例心音均低钝,心音脱漏,但无杂音,心音与脉率一致。肝肿大8例,最大肋下5cm,脾肿大6例,最大肋下3.5cm,无玫瑰疹。
From July to September 1993, an epidemic of typhoid fever occurred in a certain place in the city. A total of 382 cases of typhoid fever were admitted to our hospital, including 75 cases of pediatric patients and 9 cases of Ⅱ ° Ⅰ type AVB. The report is as follows: 1 Clinical data 1.1 General Information 9 cases, 5 males and 4 females. Age 4-13 years old, duration of admission 6-12 days. Past physical health. 1.2 Symptoms and signs of 9 patients have high fever 39-40.2 degrees, of which 4 cases of missed heat, accounting for 22.2%, pulse rate 60-130 beats / min, breathing 18-24 beats / min, 5 cases of low blood pressure (at 11-12.5 / 6-7KPa or so). 9 cases were indifferent expression, unresponsive, 7 cases complained of heart palpitations, chest tightness, auscultation heart sounds were low in 9 cases, heart sound leakage, but no noise, heart sound and pulse rate. Hepatomegaly in 8 cases, the largest ribs 5cm, splenomegaly in 6 cases, the largest ribs 3.5cm, no rosea.