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流行性出血热简称出血热是我县常见传染病之一,其临床表现复杂多变,病死率高,为急诊科抢救重点病种之一,本文就出血热特殊临床表现浅谈一些诊治体会。1.两病同发有3例拟诊为出血热入院,但入院旬余发热仍持续不退,这3例病人确有过上腭、腋下出血点及酒醉貌,尿蛋白定性+～+++,血白血球>10×10~9/L,见有异淋细胞,有肝脾肿大,嗜酸细胞绝对计数明显降低,后经肥达氏试验及血培养证实为伤寒,而出血热荧光抗体检测亦阳性,两病同发得以确诊,此种现象虽属少见,但值得注意。
Epidemic hemorrhagic fever, known as hemorrhagic fever is one of the common infectious diseases in our county, the clinical manifestations of complex and changeable, high mortality rate, emergency department emergency treatment of key diseases, this article on the specific clinical manifestations of hemorrhagic fever, talk about some diagnosis and treatment experience. 1. Two cases of hair with 3 cases were diagnosed as haemorrhagic fever admitted to hospital, but more than 10 days admitted to hospital fever continues, this 3 patients did have on the palate, armpit bleeding and drunken appearance, urine protein qualitative + +++, white blood cells> 10 × 10 ~ 9 / L, see the different lymphocytes, hepatosplenomegaly, absolute count of eosinophils was significantly reduced after the Widal test and blood culture confirmed as typhoid, and bleeding Fluorescent antibody test was positive, with the onset of two diseases diagnosed, although this phenomenon is rare, but it is worth noting.