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伤寒并发胰腺炎临床报道不多,我院1990年以来收治4例.现报道如下.临床资料本组男1例,女3例.年龄13～41岁.临床表现为高热4例(弛张热3例,不规则热1例),腹痛3例.血培养伤寒沙门菌阳性3例,肥达氏反应阳性1例.尿淀粉酶533～1600u(Somo-gyi法),ALT34～64u2例,HBsAg均阴性.B超均示胰腺水肿(胆囊、胆管正常).入院前均无酗洒、暴饮、暴食及特殊用药史,无腮腺肿痛及胆道疾病史.4例入院诊断:伤寒并发胰腺炎(水肿型).予常规禁食、静脉补液及抗炎处理后,4～10天发热消退,3～7天腹痛缓解,4～5天淀粉酶恢复正常,B超显示胰腺水肿消退时间在治疗后5～7天,住院时间10～25天(平均16天).
Clinical reports of typhoid complicated with pancreatitis few, admitted to our hospital since 1990, 4 cases are reported as follows.Clinical data of this group of 1 male and 3 females, aged 13 to 41 years old.The clinical manifestations were 4 cases of fever (fever 3 cases, 1 case of irregular heat), abdominal pain in 3. Blood culture Salmonella typhimurium positive in 3 cases, Widal’s reaction was positive in 1. Urinary amylase 533 ~ 1600u (Somo-gyi method), ALT34 ~ 64u2 cases, HBsAg Were negative.B ultrasound showed pancreatic edema (gallbladder, bile duct normal) before admission without alcoholism, binge drinking, gluttony and special medication history, no parotid gland pain and biliary disease history .4 cases of admission diagnosis: typhoid complicated with pancreatitis (Edema type) .For conventional fasting, intravenous rehydration and anti-inflammatory treatment, 4 to 10 days fever subsided, 3 to 7 days to ease abdominal pain, 4 to 5 days amylase returned to normal, B-scan showed pancreatic edema subsided time in the treatment After 5 to 7 days, hospital stay 10 to 25 days (an average of 16 days).