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流行性出血热的非典型性临床表现,是造成临床延误诊断与治疗的重要因素之一,往往引起严重的不良后果,近年来已为国内外学者所重视。鉴于此,笔者收集国内外有关报道并结合我们临床实践,予以简述。一、概述流行性出血热同其他传染病一样,存在非典型病例。我们的观察和长安县的观察相似,非典型病例多表现为有病毒血症及程度不等的出血(或有典型的出血点),但蛋白尿不明显。据国外对轻型流行性出血热的临床特点所述,本病各型的比例是重型占9.6％,中型占33％,轻型50.9％,非典型6.5％。提出对
The atypical clinical manifestations of epidemic hemorrhagic fever are one of the important factors in the diagnosis and treatment of clinical delay, which often cause serious adverse consequences. In recent years, they have been paid attention to by scholars at home and abroad. In view of this, I collected relevant reports at home and abroad and combined with our clinical practice, be briefly described. First, an overview Epidemic hemorrhagic fever, like other infectious diseases, there are atypical cases. Our observations are similar to those observed in Chang’an County. Atypical cases were mostly manifested as viremia with varying degrees of bleeding (or with typical bleeding points) but not with proteinuria. According to foreign clinical characteristics of light-type epidemic hemorrhagic fever described, the ratio of each type of disease is heavy accounted for 9.6%, 33% of medium, light 50.9%, atypical 6.5%. Put forward