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近年来流行性出血热病死率已有下降,但仍波动在1～10%之间。根据最近的一些资料,自发性肾脏破裂占直接死因的15.2%(仅次于肺炎,占第二位)。作者观察流行性出血热合并急性肾功能不全患者50例,其中8例(16%)发生自发性肾脏破裂。8例中男7例,女1例;10～20岁3例,21～40岁4例,50岁以上1例。破裂多发生于一侧,以右侧为常见。4例确诊后立即进行手术,手术的主要方法是在腰部作切口,清除血肿与缝合破裂的肾脏,2
In recent years, the mortality rate of epidemic hemorrhagic fever has dropped, but still fluctuating between 1 ~ 10%. According to some recent data, spontaneous rupture of the kidneys accounts for 15.2% of the immediate causes of death (second only to pneumonia). The authors observed 50 patients with epidemic hemorrhagic fever with acute renal failure, of which 8 (16%) developed spontaneous renal rupture. There were 7 males and 1 females in 8 cases, 3 cases were from 10 to 20 years old, 4 cases were 21 to 40 years old and 1 case was over 50 years old. Rupture occurred in more than one side to the right is common. Four patients were diagnosed immediately after surgery, the main method of surgery is to incision in the waist, remove the hematoma and suture ruptured kidney, 2