论文部分内容阅读
伤寒并发肝损害的临床报导日渐增多。我院于1990～1992年共收治伤寒病人138例,其中有肝功能损害者58例,(42.0％)。现将此组病例(下称肝炎组)与同期收治的肝功能正常的伤寒患者(下称非肝炎组)进行临床资料对此,以探讨伤寒并发肝炎的临床特点及转归。临床资料 138例均经肥达反应阳性且效价逐步增高,或细菌培养伤寒杆菌阳性而确诊。有肝损害的58例中,男27例,女31例,年龄9～42岁,平均22岁;其中外地临工132例,本镇人口26例。 1.临床症状:经统计比较,肝炎组中肝肿大占94.8％,显著多于非肝炎组(72.5％)(P<0.05),其余症状(发热、脾肿大、表情、胃肠道症状等)两组无明显差异。
Clinical reports of typhoid complicated by liver damage are increasing. In our hospital from 1990 to 1992, a total of 138 typhoid patients were admitted, including 58 cases of liver dysfunction (42.0%). Now this group of patients (hereinafter referred to as hepatitis group) and the same period of patients with normal liver function typhoid fever (hereinafter referred to as non-hepatitis group) clinical data on this in order to explore the clinical features and prognosis of typhoid fever and hepatitis. 138 cases of clinical data were positive by the Widal response titer and gradually increased, or bacteria culture typhoid bacillus positive and confirmed. There are 58 cases of liver damage, 27 males and 31 females, aged 9 to 42 years old, an average of 22 years of age; of which 132 cases of temporary work outside the town population of 26 cases. 1. Clinical Symptoms: According to the statistics, the hepatomegaly in the hepatitis group accounted for 94.8%, significantly more than those in the non-hepatitis group (72.5%) (P <0.05). The other symptoms (fever, splenomegaly, facial expression, gastrointestinal symptoms Etc.) no significant difference between the two groups.