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肺水肿是重型出血热较多的并发症之一,一旦发生,抢救较困难,死亡率较高。我院自1981年至1986年共收治出血热256例,死亡41例,病死率16％,其中死于肺水肿者占死亡病例的50％。因此,能否防止肺水肿的发生是降低本病病死率的重要环节。自1986年以来,我院对出血热肺水肿的防治采取了综合性措施,收到了较好的效果,病死率降到7.4％。采取以下措施: (一)胶体液的补充:对发热末期,一般症状重,外渗体征明显者,除输平衡盐液外,每天输冻干血浆200ml。低血压休克期病人的补液成份晶:胶比为2:1,重者可为1:1。 (二)适量补液:补液是否适量,可观察下述5项指标:(1)收缩压达到9.33～13.3kPa;(2)脉压差>
Pulmonary edema is one of the more severe complications of hemorrhagic fever, and in the event of a rescue, the rescue is more difficult and the mortality rate is higher. In our hospital from 1981 to 1986 were treated 256 cases of hemorrhagic fever, 41 cases of death, the mortality rate of 16%, of which died of pulmonary edema accounted for 50% of deaths. Therefore, the prevention of pulmonary edema is to reduce the mortality of the disease an important part. Since 1986, our hospital has taken comprehensive measures for the prevention and treatment of pulmonary hemorrhagic fever with hemorrhagic fever, and has received good results with a mortality rate of 7.4%. Take the following measures: (a) colloidal fluid supplement: end of the heat, the general symptoms of extravasation obvious signs, in addition to lose balanced salt, the daily infusion of dry blood plasma 200ml. Hypotensive shock in patients with rehydration ingredients Crystal: plastic ratio of 2: 1, weight for 1: 1. (B) the amount of rehydration: rehydration is appropriate, you can observe the following five indicators: (1) systolic blood pressure reached 9.33 ~ 13.3kPa; (2) pulse pressure>