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目的:总结肾综合征出血热(HFRS)患者的临床表现特点。方法:回顾分析收集的31例HFRS患者的临床表现、实验室检查结果和流行病学特征。结果:31例HFRS患者中,男17例,女14例;农村患者28例,城市患者3例。平均年龄44.10岁。临床症状为发热(30例)、乏力(27例)、头痛(23例)、脸红(21例)、腰痛(20例)、恶心(17例)、全身痛(15例)、眼眶痛(15例)、起病急(14例);蛋白尿14例,血小板减少14例,低血压3例,少尿6例;尿蛋白阳性14例;血尿5例。18例HFRS患者家中房内有鼠,20例家中院内有杂物或者草堆。结论:以发热、出血、肾功能损害等为主要表现的患者,结合流行病学资料要考虑到患HFRS的可能性,早期进行HFRS病原体检测可以早期确诊以便早期进行治疗。
Objective: To summarize the clinical features of patients with hemorrhagic fever with renal syndrome (HFRS). Methods: The clinical manifestations, laboratory findings and epidemiological characteristics of 31 patients with HFRS were retrospectively analyzed. Results: Of 31 HFRS patients, 17 were male and 14 were female; 28 were in rural areas and 3 were in urban areas. The average age is 44.10 years old. The clinical symptoms were fever (30 cases), weakness (27 cases), headache (23 cases), blush (21 cases), back pain (20 cases), nausea (17 cases), generalized pain (15 cases) (14 cases), 14 cases of proteinuria, 14 cases of thrombocytopenia, 3 cases of hypotension, 6 cases of oliguria, 14 cases of urine protein positive and 5 cases of hematuria. Eighteen patients with HFRS had a rat in their house and 20 of them had sundries or haystacks in their homes. Conclusion: Patients with fever, hemorrhage and renal dysfunction as the main manifestations should consider the possibility of HFRS in combination with epidemiological data. Early detection of HFRS pathogens can be diagnosed early for early treatment.