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我们最近收治1例顽固性重症伤寒并发急性胆囊炎病人,应用头孢哌酮治疗后痊愈,兹报道如下。患者,胡某,女性,25yr。因持续高热50 d余、便血2d入院。患者曾在当地医院诊治,诊断为伤寒,用庆大霉素、氯霉素、氨苄西林、SMZco等治疗无效。我院收治后仍予氯霉素2.5 g/d分2次静脉滴注,并与吡哌酸2.0 g/d、SMZco4片/d联合抗菌治疗,共15 d,但体温不退;血、骨髓、大便及尿培养均查见伤寒杆菌。药敏试验对氨苄西林、氯霉素、卡那霉素及SMZco耐药;对链霉素、
We recently admitted to a case of intractable critically ill typhoid complicated by acute cholecystitis, cefoperazone cured after treatment, it is reported as follows. Patient, Humou, female, 25yr. Due to sustained high fever more than 50d, 2d admission blood in the stool. The patient was diagnosed as typhoid fever at a local hospital and treated with gentamicin, chloramphenicol, ampicillin, SMZco and the like. In our hospital, chloramphenicol 2.5 g / d was intravenously instilled twice a day and treated with piperacillin 2.0 g / d and SMZco 4 tablets / d for 15 days, but the body temperature was not retreated; blood and bone marrow , Stool and urine culture are checked Salmonella typhi. Drug susceptibility test for ampicillin, chloramphenicol, kanamycin and SMZco resistance; for streptomycin,