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近年肾综合征出血热(下称出血热)少尿期、移行(增尿)阶段、多尿早期死亡的病人相对增多。我科近10年(1973~1983)来死亡的33例中,增、多尿期15例,占45.5%。显然,探讨增、多尿期的死亡原因及重视该期病人的救治问题值得强调。一、一般资料男10例(67%),女5例(33%);16~32岁9例(60%),40~55岁4例(26.7%),60~70岁2例(13.3%)。入院时病日为2~8天,平均4.5天;死亡病日为7~33天,平均12.3天。二、死前各期临床特点(一)发热期:热程2~11天,平均6.3天;40℃以上6例,占40%。(二)休克期:平均1.3天(1~3天)。血压为0/0 mmHg3例。(三)少尿期:病程2~4天,平均3天。
In recent years, hemorrhagic fever with renal syndrome (hereinafter referred to as hemorrhagic fever) oliguria, migration (urine) stage, early urinary polyuria patients increased relative. In the past 10 years (1973 ~ 1983), our department of 33 cases, increased polyuria in 15 cases, accounting for 45.5%. Obviously, it is worth stressing that the cause of death caused by increased and polyuria period and the treatment of patients during this period should be emphasized. First, the general information of 10 males (67%), 5 females (33%); 16 to 32 years in 9 cases (60%), 40 to 55 years in 4 cases (26.7%), 60 to 70 years in 2 cases %). On admission, the sickness day was 2 to 8 days, with an average of 4.5 days. The death date was 7 to 33 days, an average of 12.3 days. Second, the clinical features of each period before death (a) fever period: heat 2 to 11 days, an average of 6.3 days; 40 ℃ or more in 6 cases, accounting for 40%. (B) shock period: an average of 1.3 days (1 to 3 days). Blood pressure 0/0 mmHg3 cases. (C) oliguria period: duration of 2 to 4 days, an average of 3 days.