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流行性出血热(EHF)少尿期并发皮下水肿极罕见,我科于1989年9月至11月收治2例,报告如下。例1,男,27岁,因发热、头痛、腰痛8d,少尿3d 于1989年9月16日入院。每日尿量100～550ml。体检:T37.3℃,P80次/min,BP21.5/12kPa,神志清,前胸、腋下针尖样出血点,两髋部片状瘀斑,眼睑、面部轻度浮肿,球结合膜轻度水肿,心、肺、腹无阳性发现,双肾区叩痛明显。实验室检查:WBC11.9×10~9/L,血小板40×10~9/L,BUN50.94mmol/L,尿蛋白++,RBC++/HP,EHF 特异性抗体IgM++、IgG++++(IFA)。诊断:
Epidemic hemorrhagic fever (EHF) oliguria complicated by subcutaneous edema is extremely rare, our department in September 1989 to November were treated 2 cases, the report is as follows. Example 1, male, 27 years old, due to fever, headache, back pain 8d, oliguria 3d was admitted on September 16, 1989. Daily urine output 100 ~ 550ml. Physical examination: T37.3 ℃, P80 times / min, BP21.5 / 12kPa, conscious mind, chest, armpit-like bleeding point, two hip patchy ecchymosis, eyelids, mild swelling of the face, Degree edema, heart, lung, abdomen no positive findings, perineal area percussion pain significantly. Laboratory tests: WBC11.9 × 10 ~ 9 / L, platelets 40 × 10 ~ 9 / L, BUN50.94mmol / L, urinary protein ++, RBC ++ / HP, EHF specific antibodies IgM ++, IgG ++++ (IFA). diagnosis: