以鼻出血为首发表现的肾综合征出血热1例并文献复习

Hemorrhagic fever with renal syndrome with epistaxis as the first manifestation:a case report and literature review

目的通过对1例肾综合征出血热(HFRS)患者的深入分析及复习相关文献,以提高临床医师对HFRS的认识。方法回顾性分析2020年2月因鼻出血收治的HFRS患者的临床资料,并结合国内外相关文献,对本病的流行病学、发病机制、临床表现、诊断、治疗进行讨论分析。结果该患者因鼻出血入院,无其余症状,入院后患者病情急剧变化,行进一步检查及多科会诊后确诊为HFRS,经积极治疗后痊愈。结论鼻出血可能为HFRS的首发表现。临床上鼻出血患者需警惕HFRS的存在,注意非典型病例的症状,关注基本的检验指标,避免误诊误治。

Objective To analyze a case of hemorrhagic fever with renal syndrome(HFRS)and the related literatures were reviewed in order to improve the clinicians’understanding of HFRS.Methods The clinical data of HFRS patients admitted for epistaxis in February 2020 were retrospectively analyzed.The epidemiology,pathogenesis,clinical manifestations,diagnosis and treatment of this disease were discussed and analyzed in combination analyzed in combination with the relevant domestic and foreign literatures.Results The patient was hospitalized for epistaxis without other symptoms.The patient’s condition deteriorated rapidly after admission.After further examination and multi-department consultation,the patient was diagnosed as HFRS and recovered after active treatment.Conclusions Epistaxis may be the first manifestation of HFRS.Patients with clinical epistaxis should be alert to the existence of HFRS.Clinical patients should pay attention to the symptoms of atypical cases and pay attention to the basic test indicators to avoid misdiagnosis and mistreatment.