【摘要】 本文对我院1972～1983年经细菌学确诊的90例伤寒患者的实验室资料作一分析.目前本病实验室诊断主要仍靠细菌培养.本组病例血及骨髓培养的阳性率分别为83%及90%,骨髓阳性持续时间较血为长.氯霉素高敏株占72.6%,耐药株仅占4.8%,故仍为治疗本病的首选药物.本组肝功能异常者占50%,其中3例肝活检病理改变均为非特异性反应性肝炎.本组肥达氏反应阳性率为76.1%,故结合临床表现,流行病学资料对诊断仍有辅助价值.更多还原

【Abstract】 Laboratory data of 90 bacterially-proved typhoid fever in our hospital from 1972 to 1983 are analysed. At present the laboratory diagnosis of the disease still depends mainly on bacterial culture. The positive rates of blood and bone marrow are 83% and 90% respectively. Bacilli survive longer in marrow than in blood. Chlorophenical, to which 72.6% of the strains are highly sensitive, remains the drug of choice. Resistant strains present only in 4.8%Our patients with an abnormal liver function occurred in 50%, of whom the liver biopsy was performed in 3 cases. Pathological changes were all consistent with non-specific reactive hepatitis.Widal reaction was positive in 76.1% of the patients, and in addition to clinical presentation and epidemiological data it may serve as an adjuvant diagnostic aid.更多还原