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有关伤寒并发中毒性肝炎的报导不多,我院于1974年10月～1975年12月底收治伤寒73例,其中14例并发中毒性肝炎。本组并发率为19.2％。其中5例入院时误诊为急性黄疸型肝炎,进院后持续发热不退,抽血作肥达氏反应或作细菌学培养发现是伤寒并发中毒性肝炎,用氯霉素治疗后很快治愈。另9例确诊伤寒住院的病例,由于肝脏肿大明显,经抽血验肝功能,发现有明显的改变,但其中1例是隐性黄疸(胆红质1.4毫克％)。现将这14例的临床有关资料分析如下。
There are not many reports of typhoid fever complicated with toxic hepatitis. Our hospital treated 73 cases of typhoid fever from October 1974 to the end of December 1975, of which 14 cases were complicated with toxic hepatitis. The incidence of this group was 19.2%. Among them, 5 cases were misdiagnosed as acute jaundice hepatitis on admission, and continued fever after hospitalization. Blood was taken for fat Darth’s reaction or bacteriological training to find typhoid fever complicated with toxic hepatitis, which was cured soon after treatment with chloramphenicol. Another 9 cases of confirmed typhoid fever hospitalization, due to liver enlargement significantly, after blood tests to find liver function, found significant changes, but one case is recessive jaundice (1.4 mg% of bilirubin). Now these 14 cases of clinical data as follows.