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伤寒合并肾损害并不少见,通常是一过性的,合并急性肾功能不全少见。现就我院自1995年以来收治的,并经血培养证实的8例伤寒合并肾衰患者的诊治情况总结如下。本组男6例,女2例,年龄:<2岁2例,9～13岁6例。发病天数:<7天4例,10天～1月4例。临床特点:稽留热5例,驰张热2例,不规则热1例。少尿3～5天4例,10～12天2例,无尿5～8天2例(尿量<50ml/d)。血压增高6例,浮肿4例,皮肤淤斑点2例,有尿路刺激症状1例,咳嗽3例,黑便6例,黄疸1例,谵妄、昏迷、抽搐2例,肝大2例,脾大1例。实验室检查WBC<4×10~9/L2例,>10×10~9/L2例,4例正常;PL30
Typhoid fever with renal damage is not uncommon, usually transient, with acute renal insufficiency rare. Now on our hospital since 1995, and confirmed by blood culture in 8 cases of typhoid fever with renal failure diagnosis and treatment of patients are summarized below. The group of 6 males and 2 females, age: <2 years in 2 cases, 9 to 13 years in 6 cases. Days of onset: <7 days in 4 cases, 10 days to January in 4 cases. Clinical features: missed hot 5 cases, Chi Zhang heat 2 cases, 1 case of irregular heat. Oliguria in 3 to 5 days in 4 cases, 10 to 12 days in 2 cases, 5 to 8 days without urine in 2 cases (urine output <50ml / d). Blood pressure increased in 6 cases, edema in 4 cases, 2 cases of skin ecchymosis, urinary tract irritation in 1 case, cough in 3 cases, melena in 6 cases, jaundice in 1 case, delirium, coma, convulsions in 2 cases, liver 2 cases, spleen Large one case. Laboratory tests WBC <4 × 10 ~ 9 / L2 cases,> 10 × 10 ~ 9 / L2 cases, 4 cases of normal; PL30