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近年来随着预防工作的深入开展和抗菌素的应用,伤寒的发病率有所下降。且伤寒的临床表现亦多不典型,如热型比较混乱(低热、无热、间歇热、不规则热、弛张热及稽留热),中毒面容、玫瑰疹、缓脉已少见,肝肿大较脾肿大为多等。从而增加了诊断的复杂性。我院发现一例伤寒患者,其临床表现涉及多个系统,病程中有黄疸、蛋白尿、恶网样骨髓象及消化道出血等,临床较难确诊。现报告如下: 患者女,19岁,住院号47032。1977年10月3日因持续高热20余天,咽痛,经治疗无效,以发热待查入院。既
In recent years, with the deepening of preventive work and the application of antibiotics, the incidence of typhoid has declined. And the clinical manifestations of typhoid fever are also more atypical, such as the heat type is more chaotic (low fever, no heat, intermittent fever, irregular fever, fever and recuperation), poisoning face, rose rash, slow pulse has been rare, hepatomegaly More than splenomegaly and so on. Thus increasing the complexity of the diagnosis. A case of typhoid fever was found in our hospital. Its clinical manifestations involved multiple systems. Jaundice, proteinuria, caste-like bone marrow and gastrointestinal hemorrhage were found in the course of the disease. The report is as follows: Female patient, 19 years old, hospital number 47032. On October 3, 1977 due to sustained high fever more than 20 days, sore throat, after treatment ineffective, to be admitted to hospital for fever. Both