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通过220例HFRS临床分析,提出其ARF与RE的临床特征与诊断标准。同时探讨该种肾衰及其脑病的发病机理与病理改变。HFRS的ARF诊断标准:①急骤少尿或无尿(非少尿型肾衰除外),且有尿毒症的表现;②血BuN与Cr值均达正常倍值以上,且与日递增;③符合肾性肾衰的尿指标。RE是ARF重症度的标志,发生率40.5％,分为ⅠⅡⅢ度。与CRF比较,进展快;兴奋型居多;无典型周围神经病变表现。
Through 220 cases of HFRS clinical analysis, the clinical features and diagnostic criteria of ARF and RE were proposed. At the same time to explore the pathogenesis of renal failure and encephalopathy and pathological changes. ARF diagnostic criteria for HFRS: ① sudden oliguria or anuria (except oliguric renal failure), and uremia performance; ② blood BuN and Cr values were above the normal fold, and increased with the day; ③ meet Urine indicators of renal failure. RE is a sign of ARF severity, the incidence of 40.5%, divided into Ⅰ Ⅱ Ⅲ degree. Compared with the CRF, the progress is fast; mostly excited; no typical peripheral neuropathy performance.