伤寒33例临床分析

目的通过分析33例伤寒患者的临床特点,提高对本病的认识。方法回顾分析我院收治的33例伤寒患者的临床表现、实验室检查和治疗效果。结果临床表现发热100％,相对缓脉54．55％,表情淡漠3．03％,消化道症状60．60％,肝脾肿大42．42％,玫瑰疹缺如,白细胞减少36．36％,嗜酸性粒细胞减少或消失81．81％,肥达试验阳性63．63％,血培养阳性率18．18％,并发中毒性肝炎72．72％。经过头孢曲松单用或联合左氧氟沙星抗感染及综合治疗后,平均退热时间4．22±2．77天,所有患者均治愈出院。结论本病好发于青壮年,具有典型临床特点者少见,嗜酸粒细胞计数、肥达试验对诊断有参考意义,血培养可确诊,并发症以中毒性肝炎最多,但临床表现轻。治疗选用三代头孢菌素及氟喹诺酮类效果好。

Clinical Analysis of 33 Cases with Typhoid

Objective To analyze the clinical features of typhoid so as to gain better understanding of the disease.Methods A retrospective analysis was made to the clinical manifestation,lab tests and curative effect of 33 hospitalized patients with typhoid.Result All the patients had the clinical manifestation of fever with no roseola,54.55% of relative slow pulse,3.03% of apathy,60.60% of gastrointestinal symptoms and 42.42% of hepatosplenomegaly;81.81% of the patients showed decrease or disappearance of eosinophils...