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目的:为了进一步了解流行性出血热(EHF)的临床特点。方法:对我科近12年来收治的确诊为EHF的35例进行临床分析。结果:显示有肾功能损害占97%、头痛89%、腰痛74%、全身痛69%、皮肤出血66%、颜面浮肿63%、结膜充血57%。但有典型临床5期经过者仅占43%,越期或叠期者较多占57%。结论:应对EHF提高警惕,凡遇到起病急、发热、头痛、腰痛的病人,应详细询问病史,仔细体检,及时作有关的实验室检查,以防误、漏诊。
Objectives: To further understand the clinical features of epidemic hemorrhagic fever (EHF). Methods: Clinical analysis of 35 cases diagnosed as EHF admitted to our department in recent 12 years. Results: 97% of renal dysfunction, 89% of headache, 74% of back pain, 69% of body ache, 66% of skin haemorrhage, 63% of facial swelling and 57% of conjunctival hyperemia were shown. However, there are only 43% of those with typical clinical stage 5, 57% of whom are overdue or overlapping. Conclusion: EHF should be vigilant. Patients who have acute onset, fever, headache, and low back pain should be asked about their medical history in detail. Physical examination should be conducted carefully in time to make relevant laboratory tests to prevent mistakes and missed diagnosis.