摘要
对146例伤寒进行了分析,结果表明过去对伤寒诊断意义较大的稽留热型、特殊中毒症状、玫瑰疹及脾肿大现已明显减少,大多呈非典型的轻型表现,血培养阳性率亦有所降低。同时对现代伤寒的变异原因、特点及诊断事项进行了讨论。
One hundred forty—six patients suffering from typhoid fever admitted during the period of 1977～1987 were clinically analysed. The results showed that the onset was often abrupt in most cases, the typical typhoid temperature curve was noticed to be only 33.6％, while remitted and irregular fever 66.3％. Delirium coma and rose spots had been greatly decreased, they were found to be 5.5％ 1.4％ and 6.2％ respectively. The incidence of splenomegaly had been also decreased, while hepatomegaly was more of the seen now. Owing to the increasing of mild and atypical cases, the clinical diagnosis of the disease is getting more difficult thus misleading the diagnosis up to 32.2％. Mechanism and character of variation are briefly discussed.
出处
《潍坊医学院学报》
1990年第4期38-40,共3页
Acta Academiae Medicinae Weifang
关键词
伤寒
变异
typhoid
Variation
infectious diseaes
