流行性出血热肾功能衰竭临床分型初探

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。

A PRELIMINARY STADY ON THE CLINICAL CLASSIFICATION OF EPIDEMIC HEMORRHAGIC FEVER IN RENAL FAILURE

In this peper, 100 cases of Epidemic Hemorrhagic Fever in Renal failure were analysed and summarized in our hospital from 1983 to 1985. According to The clinical findings and the laboratory determinations of their Renal damages such as BUN, creatinin, electrolytes of serum, Morphologic observations of RBC in urine, Urinary FDP and lysozyme, Partial pathologic materials of renal puncture they were classified into four clinical types. Of them 75% non-oliquric renal failure type, 19% oliquric renal failure type, 3% chronic renal failure type and 3% twice renal frilure type, compared with the clinical findings of these four types there were singnificant difference renal functions and the effect of treatment It was suggested that the study on clinical classification of epidemic hemorrhagic fever in rcbal failure would be more beneficial to dirrect the prophylactic-theraputic research.