副伤寒甲并发肠出血及肠穿孔甚为罕见,我院于1986年6月收治1例,现报道如下。病历摘要患者男性,24岁,未婚,浙江籍,农民。因腹痛、腹泻,大便带血34天,发热,大便呈果酱色样或血块20天,腹部剧痛1天而于1986年6月1日急诊入院。患者于1986年4月28日开始感到腹部不适,脐周间歇性隐痛,大便每日2～3次,时干时稀,偶带少量暗红色血液,同时感到乏力,纳差,是否发热不详,但仍能坚持体力劳动,从5月11日起自感发热,晨低晚高,大便稀糊状,每日3～4次,有时为果酱色,量不多,腹胀感,无明显腹痛。于5月21日曾在当地县医院住院治疗,肥达氏反应阴性,服白药片,2片,1日3次,病情无好转,从5月24日开始用氨苄青霉素静脉点滴,每日6g,共7天,体温仍在39℃以上,病情日益加重。5月31日突感 A paratyphoid A complicated intestinal bleeding and intestinal perforation is very rare, our hospital in June 1986 admitted to a case, are reported below. Medical record Summary Male patient, 24 years old, unmarried, Zhejiang nationality, farmer. Due to abdominal pain, diarrhea, stool bloody 34 days, fever, stool samples were like color or blood clots 20 days, abdominal pain for 1 day and in June 1, 1986 emergency admission. Patients began to feel abdominal discomfort on April 28, 1986, umbilical intermittent pain, stool 2 or 3 times a day, when dry and thin, even with a small amount of dark red blood, at the same time feel fatigue, anorexia, fever is unknown, But still able to insist on manual labor, since May 11 from a sense of fever, morning and evening high, stool thin paste, 3 to 4 times a day, sometimes jam color, a small amount, abdominal distension, no obvious abdominal pain. On May 21 was hospitalized in a local county hospital, Widal reaction negative, serving white pills, 2, 1 3 times, the condition did not improve, from May 24 began with ampicillin intravenous infusion of 6g daily , A total of 7 days, the body temperature is still above 39 ℃, the condition is getting worse. May 31 Suddenly