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出血是流行性出血热(简称出血热)常见的、致死性的并发症,其中消化道出血最为常见.其出血机理较为复杂,目前认为与 DIC 形成、肝素类物质增加,尿毒症等有关.我们应用单味中药白芨治疗出血热消化道出血70例,疗效较满意.现报告如下:临床资料1.病例:1980～1985年住院的出血热合并消化道出血的患者,共70例.根据1981年全国流行性出血热会议所拟订的诊断标准诊断,经临床确诊.其中男42例,女28例。年龄16～30岁20例,31～40岁23例,41～50岁17例,51岁以上10例. 2.临床表现:呕血伴便血者44例.其中大量呕血(>1000ml/日)12例,中量(500～1000ml/日)25例,小量(<500ml/日)7例.呕吐咖啡色液或单纯黑便者26例.3.治疗方法:本组病例除根据病期不同,按出血热治疗方案采取补液、纠酸、利尿、止血等综
Bleeding is a common and fatal complication of epidemic hemorrhagic fever (referred to as hemorrhagic fever), of which gastrointestinal bleeding is the most common, and its bleeding mechanism is more complicated and is currently considered to be related to the formation of DIC, heparin and uremia. The application of single herb Baizhu haemorrhagic fever in the treatment of gastrointestinal bleeding in 70 cases, the effect is more satisfactory.The report is as follows: Clinical data 1 cases: from 1980 to 1985 were hospitalized patients with hemorrhagic fever with gastrointestinal bleeding, a total of 70. According to 1981 National Epidemic Haemorrhagic Fever prepared by the diagnosis of diagnostic criteria, clinically diagnosed, including 42 males and 28 females. 20 cases were aged from 16 to 30 years, 23 cases were from 31 to 40 years old, 17 cases were from 41 to 50 years old and 10 cases were over 51 years old. (2) Clinical manifestations: 44 cases of hematemesis with blood in the stool, including massive hematemesis (> 1000ml / day) Cases, the amount of (500 ~ 1000ml / day) in 25 cases, a small amount (<500ml / day) in 7. Vomiting brown liquid or black simple case of 26. 3. Treatment: In addition to the group of patients according to different stages, According to hemorrhagic fever treatment programs to rehydration, correction acid, diuretic, bleeding and other comprehensive