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近年来,我们收治流行性出血热急性肾衰(ARF)演变为慢性肾衰病人3例,现举1例报告如下。 患者男,45岁。因发热、头痛8天,少尿4天,以EHF-ARF收入院。院外曾用卡那霉素2天(1g/d),并经大剂量速尿治疗无效。既往健康。体检:BP20/12kPa。面部浮肿,球结合膜水肿Ⅱ~0,皮肤多处淤斑,心肺(-),腹软,腹水征(+),余正常。实验室检查:尿呈血性,蛋白(#),RBC满布视野。BUN32.9mmol/L,Scr819μmol/L,ALT120U,HBVM(-),抗-EHFVIgM(+)。入院当日行血透治疗,共透析15次方渡过少尿期,但BUN、Scr下降不理想,直至出院时(第113病日)BUN仍在16.9mmol/L,Scr194μmol/L。1.5年后随访,患者仍有多尿,夜
In recent years, we admitted acute exacerbations of hemorrhagic fever (ARF) evolved into patients with chronic renal failure in 3 cases, one case report is as follows. Male patient, 45 years old. Due to fever, headache for 8 days, oliguria 4 days to EHF-ARF income hospital. Kanamycin was used outside the hospital for 2 days (1g / d), and high-dose furosemide treatment ineffective. Past health. Physical examination: BP20 / 12kPa. Facial edema, conjunctival edema Ⅱ ~ 0, multiple skin ecchymosis, cardiopulmonary (-), abdominal soft, signs of ascites (+), more than normal. Laboratory tests: urine was bloody, protein (RBC) full field of vision. BUN32.9mmol / L, Scr819μmol / L, ALT120U, HBVM (-), anti-EHFVIgM (+). On the day of admission hemodialysis treatment, a total of 15 dialysis over the oliguria period, but BUN, Scr decreased not ideal until discharge (113th day) BUN still 16.9mmol / L, Scr194μmol / L. 1.5 years after follow-up, patients still have more urine, night