流行性出血热并发肾破裂临床往往容易漏诊。本文报告一例,在肾脏手术后病理检查发现并经血清免疫荧光检查始确定诊断,对肾脏标本进一步作了免疫荧光和电镜观察,现报告如下: 患者男性,23岁,南昌市郊农民。1984年12月27日开始畏寒发热,体温38℃～39℃,咽喉痒。注射板兰根6支不见效。第4天开始腹痛,以上腹为主,伴恶心呕吐,系咖啡色胃内容物。晚上腹痛加剧呈针刺样,且右下腹有压痛。化验:Hb11.5g;WBC8900, Epidemic hemorrhagic fever complicated by renal rupture often easy to missed diagnosis. This article reports a case, found in the pathological examination after renal surgery and confirmed by serum immunofluorescence diagnosis, the kidney specimens were further immunofluorescence and electron microscopy, are as follows: The patient male, 23 years old, Nanchang suburban peasants. December 27, 1984 began chills fever, body temperature 38 ℃ ~ 39 ℃, itchy throat. Injection plate Langen 6 does not work. Day 4 began abdominal pain, mainly to the upper abdomen, with nausea and vomiting, Department of brown stomach content. Abdominal pain intensified acupuncture-like night, and right lower quadrant tenderness. Assay: Hb 11.5g; WBC8900,