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伤寒的合并症甚多,但并发“急性脊髓炎”的报道在国内尚未见到。现将笔者遇到的2例报告如下。病例报告例1:刘××,男,43岁,农民,住院号79034。患者于1979年10月12日因持续发热13天而入院。发病来体温持续在39℃以上,伴有纳差、上腹部不适等。在院外曾用“青霉素、红霉素”等药治疗无效。入院当天出现双下肢乏力,有酸困感。次日晚突感乏力加重,继之完全不能动,大小便潴留,且伴有下胸部皮肤带状发紧。既往体健,否认有其它疾病史,有伤寒接触史。体检:神清,皮肤巩膜无黄染,未见皮疹。体温39.8℃,脉搏76次/分,血压126/80毫米汞柱。心肺正常。腹软无肌卫,全腹无压痛,肝脾未及。胸6以下深浅感觉缺失,两下肢肌力0度,肌张力低,
There are many complications of typhoid fever, but the report of “acute myelitis” has not been seen in China yet. Now I encountered two cases are as follows. Case Report Case 1: Liu XX, male, 43 years old, farmer, hospital number 79034. The patient was admitted to hospital on October 12, 1979, for 13 days of sustained fever. The incidence of body temperature continued at 39 ℃ above, with anorexia, abdominal discomfort and so on. In the hospital had used “penicillin, erythromycin” and other drug treatment is invalid. On the day of admission, both lower extremities were weak and sour. Suddenly the next day aggravate weakness, followed by a total can not move, urine retention, and accompanied by lower chest skin banding tight. Past physical health, denied the history of other diseases, history of contact with typhoid fever. Physical examination: God clear skin sclera no yellow dye, no rash. Body temperature 39.8 ℃, pulse 76 beats / min, blood pressure 126/80 mm Hg. Cardiopulmonary normal. Abdominal weakness without health, the whole abdomen without tenderness, liver and spleen not yet. Chest 6 sense of depth below the loss of two lower extremity muscle strength of 0 degrees, low muscle tone,