肾综合征出血热并发精神障碍26例临床分析

CLINICAL ANALYSIS OF HEMORRHAGIC FEVER WITH RENAL SYNDROME COMPLICATING DYSPHRENIA

本文对２６例并发精神障碍的ＨＦＲＳ病人的临床资料进行了分析。结果表明，精神障碍是ＨＦＲＳ的并发症之一。其发生率为１．２％，仅见于重型、危重型病例，精神障碍的临床表现为认知、情感、意志行为和意识障碍四种类型。文章对精神障碍的发生机理进行了探讨。同时指出，并发精神障碍对ＨＦＲＳ病情无直接影响，但其病死率（２６．９％）明显高于无精神障碍的同型病例（１３．８％）。因此，精神障碍可做为ＨＦＲＳ病情及予后的一项参考指标。

Clinical analysis of hemorrhagic fever with renal syndrome (HFRS) complicating dysphrenia of 26 cases indicate that dysphrenia is one of complications of HFRS. Incidence is 1. 2 per cent. Dysphrenia only was found in serious case. Clinical manifestation has obstruct of cognition, emotion, will and action, consciousness. Mechanism of appearing dysphrenia was probed. Mortality (26.9 per cent) of HFRS complicating dysphrenia is taller than the same type but no dysphrenia (13.8 per cent). Dysphenia is a consulting target of condition and prognosis in HFRS.