流行性出血热189例危重症候的分析

An Analysis of Serious Symptoms 189 Cases with Epidemic Hemorrhagic Fever

对189例EHF患者进行了分析,认为下列各项对疾病严重程度的判断有价值:神经精神症状;顽固性休克;成人呼吸窘迫综合征;高血容量综合征;急性左心衰竭肺水肿;消化道大出血;颅内出血;胶胨状球结膜水肿伴血肿;颜面部淤斑;早期出现的以针刺部位为中心迅速扩大融合的淤斑;剧烈腹痛;长时间尿闭;视物模糊;严重继发感染;出现黄疸、类白血病反应;血小板<30×10~9/L、BUN>43mmol/L、Cr>707μmol/L;血性尿膜;血钾>6.5mmol/L以及发热、休克与少尿三期重叠的病人等。

Analysis of 189 cases epidemic hemorrhagic fever (EHF) illustrated thatthe following facts are valuable for discrimination of the severity of the disease:neuropsychic symptoms,obstinate shock, adult respiratory distress syndrome, hypervolemicsyndrome, acute left heart failure and pulmonary edema, massive hemorrhage of gastro-intestinal tract, intracranial hemorrhage, jelly-like edema associated with hematoma overthe bulbar-conjunctiva, ecchymosis over the face and that appeared in early stage andrapidly enlarging and fusing,severe abdominal pain, prolonged anuria, blurring of vision,severe secondary infection, jaundice, leukemoid reaction, blood platelet 30×10~9/L, BUN>43mmol/L, urinary membrane-like substance containing blood, serum potassium (K^+)>6.5mmol/L and the patients with overlapping of febrile, shock and oliguria.