小儿甲型副伤寒29例临床分析  

Clinical Analysis on 29 Cases of Type-AParatyhphoid Fever In Children

作　　者：杨丽萍[1] 柯岫恩[1] 朱丽明[1] 马蕾[1] 张志筠[1] 

机构地区：[1]大理学院玉溪教学医院儿内科,云南玉溪653100

出　　处：《大理学院学报（医学版）》2002年第2期65-66,共2页

摘　　要：目的 :探讨小儿甲型副伤寒的临床特征。方法:分析29例病例资料的临床表现 ,实验室资料、发病特点、诊断、治疗要点及其流行特征。结果:本组病例以农村儿童为多发病例 ,发病年龄主要集中在2～10岁之间 ,临床以发热为主要表现 ,呈稽留热和驰张热型 ;消化道症状较轻 ;感染中毒症状 ,相对缓脉 ,玫瑰疹少见 ;外周血白细胞与嗜酸性粒细胞减少。血培养是明确诊断最主要的方法之一。头孢类和氨基糖甙类为敏感药物。结论:甲型副伤寒 ,临床未显现典型的消化道症状及体征 ,用药应以药物敏感试验为指导 ,避免滥用抗生素。Objective:To investigate the clinical features of children paratyphoid fever.Methods:Clinical manifestation,laboratory data,onset of illness,diagnosis,treatment and epidemic features of the 29 cases were analyzed.Results:Most patients were from countryside.The age of onset were mainly within 2 to 10 years old.Fever was appeared in sustained and remittent types.The symptoms of digestive tract were mild.Infective intoxication,relative bradycardia and roseola were not common.Peripheral leukocyte and acidophilic granulocyte were decreased.The blood culture was one of the main methods for diagnosis the disease.Further more,the disease was sensitive to cephalosporin and aminoglycosids.Conclusion:Type-A paratyphoid fever was epidemic in our city.Digestive tract symptoms and sighs were typical clinic characterisics.Using antibiotic should be following drug-sensitive test and should avoid to abuse antibioatics.

关 键 词：小儿 甲型副伤寒 沙门氏菌属 实验室资料 流行病学 敏感抗生素 

分 类 号：R725.163[医药卫生—儿科]