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218例伤寒临床分析 被引量:1

Clinical Analysis of 218 Cases Abdominal Typhus
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摘要 目的报道一起水源性暴发流行伤寒的临床特点。方法对213例伤寒患者的临床特点、治疗及转归进行回顾性分析。结果本组病例具有如下特征:全部为青少年;急起高热,以不规则热为主,腹痛;肝脾肿大较多,常见的并发症为中毒性肝炎;细菌培养伤寒杆菌对氟喹诺酮类、庆大霉素高度敏感;对氯霉素、氧哌嗪青霉素敏感;对万古霉素、阿莫西林不敏感。结论部分伤寒病例临床表现已不典型,氟喹诺酮类仍为伤寒的首选药物。 Objective To report the clinical characteristics of water source outbreak abdominal typhus. Methods The clinical materials of 213 cases abdominal typhus including clinical characteristics, treatment and recovery were analyzed retrospectively. Results The characteristics of this group were young, irregular acute fever, abdominal pain and hepato - splenic megaly. The common complication was toxic hepatitis. The typhus bacilli was highly sensitive to quinolones and gentamycin, sensitive to chloromycetin and piperacillin and non- sensitive to vancomycin and amoxicillin. Conclusion The partial clinical manifestation might not be typical but the quinolones should be first choice drug.
作者 周东河
出处 《黑龙江医学》 2006年第4期272-273,共2页 Heilongjiang Medical Journal
关键词 内科学 伤寒 肥达氏反应 临床分析 Internal medicine Typhus Clinical analysis
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