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我们将1994年10月至1998年10月收治的肾综合征出血热(HFRS)53例患者进行血清酶的临床观察,现报道如下。1 资料及方法1.1 一般资料 53例患者男43例,女10例,年龄13～65岁,平均39岁。按1992年李冠三主编《流行性出血热临床学》分型,轻、中、重、危重型。入院患者均有发热、尿蛋白阳性、血小板减少、出血点、HFRS-IgM阳性。血清尿素氮(BUN)7.1～28.6mmol/L,平均18.65mmol/L,血清肌酐(Cr)40～760μmol/L,平均400μmol/L。并发消化道出血7例,鼻衄2例,肺水肿1例,精神障碍、头痛剧烈4例,抽搐1例。经综合治疗后痊愈50例,死亡3例。
Clinical data of 53 patients with hemorrhagic fever with renal syndrome (HFRS) admitted to our hospital from October 1994 to October 1998 were as follows. 1 Materials and Methods 1.1 General Information 53 patients 43 males and 10 females, aged 13 to 65 years, mean 39 years. According to 1992, edited by Li Guan-san “epidemiological hemorrhagic fever clinical” classification, light, medium, heavy, critical type. Admitted patients had fever, urinary protein-positive, thrombocytopenia, bleeding, HFRS-IgM positive. Serum urea nitrogen (BUN) 7.1 ~ 28.6mmol / L, an average of 18.65mmol / L, serum creatinine (Cr) 40 ~ 760μmol / L, an average of 400μmol / L. Concurrent gastrointestinal bleeding in 7 cases, epistaxis in 2 cases, pulmonary edema in 1 case, mental disorders, headache in 4 cases, convulsions in 1 case. After the comprehensive treatment of 50 cases were cured, 3 patients died.