流行性出血热又称肾综合征出血热,是一种自然疫源性传染病,临床上以短期发热,继之出现出血、休克和急性肾功能衰竭等症状为特征。笔者收治1例重型流行性出血热病人,入院时已出现多脏器功能不全,通过枸橼酸抗凝应用持续静脉-静脉血液滤过(CVVH)控制,效果良好,报道如下。1临床资料患者,女,62岁,因发热4 d,尿少2 d入院。患者入院前4 d无明显诱因反复出现发热,最高达 Epidemic hemorrhagic fever, also known as hemorrhagic fever with renal syndrome, is a naturally foci of infectious disease characterized clinically by short-term fever, followed by bleeding, shock, and acute renal failure. I admitted to a case of severe epidemic hemorrhagic fever patients, admission has occurred multiple organ dysfunction, citrate anticoagulant continuous intravenous-venous hemofiltration (CVVH) control, the effect is good, reported as follows. 1 clinical data, female, 62 years old, 4 days due to fever, oliguria 2 d admission. 4 d before admission, no obvious incentive for repeated fever, up to