流行性出血热(以下简称出血热),病情复杂,临床上无特异性病原疗法,特别在少尿期,由于肾功能不全,高度浮肿,合并症多,治疗矛盾多,死亡率高。我们遇到两例重症出血热高渗型少尿期,试用激素加人体白蛋白静滴,病人很快进入恢复期。现报道如下: 例1、男,39岁,住院号25892,发热、腰痛5天,少尿1天而入院。诊断为出血热重型少尿期。入院后给予平衡液扩容及纠酸等治疗。热退,血压稳定,但仍少尿100～300毫升/日,持续10日伴全身高度浮肿,用速尿500～800毫克,每日三次静推,口服甘露醇,效果不佳。查血NPN95毫克％,血浆总蛋白3.74克,白蛋白2.81克,球蛋白0.93克。经用人体白蛋白50克加地塞米松10毫克静滴,每日一次,共3天,尿量从第3天开始增多 Epidemic hemorrhagic fever (hereinafter referred to as hemorrhagic fever), the disease is complex, clinical pathogen-specific therapy, especially in oliguria, due to renal insufficiency, a high degree of edema, complications and more treatment conflicts and high mortality. We encountered two cases of severe hemorrhagic hyperosmolar oliguria, trial hormone plus human albumin infusion, the patient quickly into recovery. Are reported as follows: Example 1, male, 39 years old, hospital number 25892, fever, low back pain for 5 days, oliguria 1 day and admitted to hospital. Diagnosis of hemorrhagic fever oliguria period. After admission to give balanced fluid expansion and correction of acid treatment. Heat back, stable blood pressure, but still oliguria 100 ~ 300 ml / day for 10 days with body height edema, with furosemide 500 to 800 mg three times daily push, mannitol orally, the effect is not good. Check blood NPN95 mg%, plasma total protein 3.74 grams, albumin 2.81 grams, globulin 0.93 grams. After using human body albumin 50 grams plus dexamethasone 10 mg intravenously once daily for 3 days, urine output increased from the third day