Clinical analysis on 78 cases of typhoid fever and paratyphoid fever

DENG Hui; et al

doi:10.13406/j.cnki.cyxb.2005.01.044

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Clinical analysis on 78 cases of typhoid fever and paratyphoid fever

更新时间：2024-01-17

- Clinical analysis on 78 cases of typhoid fever and paratyphoid fever
- Journal of Chongqing Medical University Issue 1, Pages: 143-145(2005)
- 作者机构：
  
  1. 重庆医科大学临床学院感染科
  2. 重庆医科大学临床学院感染科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.01.044
  CLC： R516.3
- Published：2005，
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[1]邓蕙,余泽波,段明纲.78例伤寒、副伤寒临床分析[J].重庆医科大学学报,2005(01):143-145.

DENG Hui, et al. Clinical analysis on 78 cases of typhoid fever and paratyphoid fever. [J]. Journal of Chongqing Medical University (1):143-145(2005)
[1]邓蕙,余泽波,段明纲.78例伤寒、副伤寒临床分析[J].重庆医科大学学报,2005(01):143-145. DOI： 10.13406/j.cnki.cyxb.2005.01.044.

DENG Hui, et al. Clinical analysis on 78 cases of typhoid fever and paratyphoid fever. [J]. Journal of Chongqing Medical University (1):143-145(2005) DOI： 10.13406/j.cnki.cyxb.2005.01.044.

摘要

目的了解近年来重庆地区伤寒、副伤寒的临床特征。方法回顾性分析我院1999年1月～2003年12月5年间收治的伤寒、副伤寒病例。结果伤寒病例比重有下降趋势

副伤寒病例比重则从1999年的20%上升到2003年的55.6%。临床以发热、相对缓脉、脾大

血白细胞下降、腹泻为主要表现

玫瑰疹、表情淡漠较少见

大多数病人的热型以不规则或弛张热为主

典型的稽留热仅占25.6%。常见的并发症为中毒性肝炎和支气管肺炎。伤寒、副伤寒对氟喹诺酮类、第三代头孢菌素有很好的敏感性。结论部分病例临床表现已不典型;近年来副伤寒比重有上升的趋势;氟喹诺酮类药物仍为伤寒、副伤寒的首选药物。

Abstract

Objective:To investigate the clinical features of typhoid fever and paratyphoid fever in Chongqing.Methods:A retrospective study was designed to analyze 78 cases of typhoid fever and paratyphoid fever from 1999 to 2003.Results:The proportion of typhoid fever was decreased

but the proportion of paratyphoid fever rose from 20% in 1999 to 55.6% in 2003.The clinical manifestations included fever

relative bradycardia

hepatosplenomegaly

leukopenia and diarrhea

infrequently as roseola and indifferent expressions.The complications mostly manifested as toxic hepatitis and bronchopneumonia.Typhoid fever and paratyphoid fever were sensitive to fluoro -quinolones and the third generation cephalothins.Conclusion:In recent years proportion of paratyphoid fever tend to rise.Fluoro-quinolones still remain the drug of choice for the treatment of typhoid and paratyphoid fever.

关键词

伤寒副伤寒肥大氏反应临床分析

Keywords

Typhoid feverParatyphoid feverWidal reactionclinical analysis

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