从1977年2月～1985年12月共收治了流行性出血热患者209例,其中死亡30例、病死率为14.13％。本文对这30例死因进行分析,9例死于休克期;16例死于少尿期;2例死于移行期;3例死于多尿期。进行性肾衰为本病死亡的主要原因(占70％)。为了降低流行性出血热死亡率,对控制肾衰及其并发症的预防性治疗极为重要。文中对本组死亡病例的经验教训和防止中枢神经系统并发症问题进行了探讨。 From February 1977 to December 1985 a total of 209 patients with epidemic hemorrhagic fever were treated, of which 30 died, the case fatality rate was 14.13%. This article analyzes the 30 deaths, 9 died of shock; 16 died of oliguria; 2 died of transitional period; 3 died of polyuria. Progressive renal failure is the main cause of death (70%). In order to reduce the mortality rate of epidemic hemorrhagic fever, it is very important to prevent the renal failure and its complications. The article on the death of the group of lessons learned and prevention of central nervous system complications were discussed.