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目的充分认识甲型副伤寒并发症的多样性,为临床诊疗提供依据。方法分析山东医学高等专科学校附院自2003年3月至2004年10月收治的263例甲型副伤寒多器官损伤分布情况。结果甲型副伤寒并发多器官损伤分布与相关报道基本相符,最多的是中毒性肝损害(63.5%),其次为心肌损害(25.8%),呼吸系统损害(17.9%),肾损害(16.3%),其他还有胆系感染、肠出血、肠穿孔、全血细胞减少等并发症。结论甲型副伤寒容易引起多器官损害,易导致误诊、误治,应引起临床医师的重视。
Objective To fully understand the diversity of parathyroidal complications and provide evidence for clinical diagnosis and treatment. Methods The distribution of multiple organ damage in 263 cases of Paratyphoid A was analyzed from March 2003 to October 2004 in the Affiliated Hospital of Shandong Medical College. Results The distribution of multi-organ damage in paratyphoid A was basically consistent with the related reports, the most was toxic liver damage (63.5%), followed by myocardial damage (25.8%), respiratory system damage (17.9%) and renal damage (16.3% ), There are other biliary infections, intestinal bleeding, intestinal perforation, pancytopenia and other complications. Conclusions Paratyphoid A can easily cause multiple organ damage, which may lead to misdiagnosis and mistreatment. It should be taken seriously by clinicians.