伤寒是由伤寒沙门菌属引起的急性传染病,每年在传染病中发病率较高,临床上以持续高热,伴中毒症状、肝脾肿大、白细胞减少为特征,重者可出现相对缓脉,皮肤玫瑰疹。我科1992年1月～1998年12月收治经血培养确诊的伤寒103例,临床表现与教科书上差别较大,多数均以上呼吸道感染为首发症状,病程较短,中毒症状及并发症较少,报告如下。 1 临床资料 1.1 一般资料:男68例,女35例,年龄9月～1岁6例,～3岁29例,～7岁58例,～13岁10例。 1.2 临床表现:103例均有不同程度发热,其 Typhoid fever is caused by the typhoid Salmonella acute infectious diseases, a high incidence of infectious diseases in each year, clinically high fever, with symptoms of poisoning, hepatosplenomegaly, leukopenia is characterized by severe retardation may appear relatively , Skin rosacea. Our department from January 1992 to December 1998 admitted to menstrual blood identified 103 cases of typhoid fever, clinical manifestations and textbooks vary greatly, most of them are upper respiratory tract infection as the first symptom, shorter duration, fewer symptoms and complications of poisoning, The report is as follows. 1 Clinical data 1.1 General Information: 68 males and 35 females, aged 9 months to 1 year in 6 cases, ~ 3 years in 29 cases, ~ 7 years in 58 cases, ~ 13 years in 10 cases. 1.2 Clinical manifestations: 103 cases have varying degrees of fever, its