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本文分析和总结了我院自1983~1985年100例流行性出血热肾功能衰竭。根据临床表现和一些实验室检查:如血尿素氮、肌酐、血清电解质、尿中纤维蛋白降解产物和溶菌酶,尿红细胞形态观察以及部分肾穿病理资料而将其分成4种临床类型,其中75%为非少尿型,19%为少尿型,3%为慢性肾衰型,3%2次肾衰型。比较各型之间临床表现,肾功能和治疗效果有明显差别。故认为对流行性出血热肾衰临床分型的探讨,对指导防治是有裨益的。
This article analyzes and summarizes our hospital from 1983 to 1985, 100 cases of epidemic hemorrhagic fever and renal failure. According to the clinical manifestations and some laboratory tests: blood urea nitrogen, creatinine, serum electrolytes, urinary fibrin degradation products and lysozyme, urinary erythrocyte morphology and partial renal pathological data and will be divided into four clinical types, of which 75 % Non-oliguric type, 19% oliguric type, 3% of chronic renal failure, 3% 2 times of renal failure. Compare the clinical manifestations between various types, renal function and treatment have significant differences. So that the clinical classification of epidemic hemorrhagic fever and renal failure, to guide the prevention and treatment is of benefit.