流行性出血热1333例临床分析

EPIDEMIC HEMORRHAGIC FEVER:CLINICAL ANALYSIS OF 1,333 CASES

本文报告了流行性出血热患者的临床特征、常规检验数据、异形淋巴细胞比率、免疫检查结果以及本病各期的血液流变学、血气分析、放射性核素肾图和甲皱微循环的变化规律,分析了死亡原因和影响预后的因素.1,333例中,死亡55例,病死率4.12%,其中1983～1984年病死率降至1.85%.主要治疗体会是抓'三早'、把'三关',早期定度抓重点,各种手段齐监测,预防(性)治疗是关键;针对各期特点采用扩、扩、稳、平的治疗原则.

Different respects including clinical features,date of routine tests,rate of atypioal lymphocytes,the results of immunological examinations and changes in hemorrheology,blood gas,radiorenography and nailfold microcirculation,etc.were analyzed in 1,338 cases of epidemic hemorrhagic fever.The cause of death and disadvantageous factors of prognosis were also studied.Of the 1,333 patients,55 died.The average mortality was 4.12% however,the moreality of the cases treared in 1983～1984 has been reduced to 1.85%.The authors point out that effective treatment ig closely related to the early diagnosis,early rest and early treatment.Great attention should be paid to the main complications as shock,renal failure and hemorrhage.