流行性出血热并发成人呼吸窘迫综合征四例

Four Cases of Epidemic Hemorrhagic Fever Complicating Adult Respiratory Distress Syndrome

流行性出血热(EHF)并发成人呼吸窘迫综合征(ARDS)多见于危重型EHF伴有高度外渗的患者;较常发生于少尿期向多尿期移行过度阶段;同时易伴有多脏器功能衰竭(MOF);一般吸氧治疗无效,病死率极高。因此,着重强调早期发现和诊断是抢救的关键。我们认为,当EHF出现休克或肾衰时,尤其对经扩容输液后,休克逆转而发生呼吸困难者,必须密切监护呼吸功能变化,注意呼吸频率,及早进行血气分析,这对及时发现和抢救具有重要意义。

Epidemic hemorrhagic fever (EHF) complicating adultrespiratory distress syndrome (ARDS) are often the patients of serious EHF with high outward osmosis. The condition occur oftenin transitional stage from a little to polyuria and companyeasy multiple organ failure (MOF) simultaneously. In general, inhaling oxygen is ineffective treatment. Case fatality rate is rery high. Therefore We think that the earlier finding and diagnosis is the key. When EHF Complicatesshock and kindney functional exhausion, after being treated by transfusion expanding capacity especially, the patients that shock changes good and then occurs dyspnea must be paled close attention to the change of respiratory functin and frequency. Blood-gas analyse are made early. It is highly important for us find and save patients timely.