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为提高肾综合征出血热（ＨＦＲＳ）并发腹水的早期诊断，减少误诊机会，探讨理想的防治方案。对收治的ＨＦＲＳ９８例，经Ｂ超探测确认并发腹水的３３例进行了分析。本组腹水发生率５１％，病死率９．１％，无腹水组病死率０．０３％，经统计学处理二者差异显著（Ｐ＜０．０１）。其中轻、中、重度腹水病例病死率分别是０，１２．５％，４０％，腹水程度与病死率呈正相关，治疗上应早期积极治疗原发病，控制入液量，注意晶胶搭配，应用白蛋白、血浆。当腹水出现，在综合治疗的基础上用酚妥拉明加多巴胺加速尿，以调节腹腔血管张力，可促进腹水消退。
To improve the early diagnosis of hemorrhagic fever with renal syndrome (HFRS) complicated with ascites, reduce the chance of misdiagnosis and explore the ideal prevention and treatment plan. In the group of 98 cases of HFRS, 33 cases of complicated ascites confirmed by B-mode ultrasonography were analyzed. The incidence of ascites in this group 51%, mortality 9.1%, no ascites group mortality 0.03%, statistically significant difference between the two (P <0.01). The cases of mild, moderate and severe cases of ascites mortality were 0,12.5%, 40%, the level of ascites and mortality was positively correlated early treatment of active treatment should be the primary disease, control the amount of fluid, pay attention to Jingjiao collocation, Application of albumin, plasma. When ascites appears, on the basis of comprehensive treatment with phentolamine plus dopamine to accelerate urine to regulate the abdominal vascular tension can promote ascites.