副伤寒甲245例临床特点和诊断探讨

目的分析副伤寒甲的临床及诊断方法.方法对245例副伤寒甲的临床资料进行回顾性分析.结果临床症状以发热、畏寒、咽痛为主.发热以下午或夜间为甚,驰张热型为主,肺部、肝功能异常较常见,治疗以喹诺酮类和第三代头孢类抗菌素为主.结论由于副伤寒甲症状不典型,消化系统外的临床表现多,容易误诊,要综合分析临床现象,才能尽早作出正确的诊断和治疗.

Discussion on clinical characteristics and diagnosis of 245 cases of paratyphoid

[Objective] To analysis the clinical characteristics and diagnodtic methods of paratyphoid A. [Method] Retrospective study on the clinical dates of the 245 cases of paratyphoid A. [Result] Fever, chilly and pharyngalgia are the main symptoms of paratyphoid A. The main type of fevre is remittent fever and take place especially at afternoom or at night. The disfunction of bellows and hepatic function are often been seen in these cases. The medicine for these partients are Quinolones and the third generation Cephamycins. [Conclusion] To diagnose and treat these patients as early as possible to analysis the clinical picture of paratyphoid A. Avoiding its misdiagnosis due to the clinical manifestation such as its atypical and extra clinical situations besides the symptoms of digesuve system.