流行性出血热的急性严重肾功能衰竭(简称急性严重肾衰),其病理生理错综复杂,可致较长时间的少尿无尿,引起水、电解质、代谢和酸碱平衡的严重紊乱。肾衰的时间愈长,又可加重出血倾向。严重肺水肿和脑症状可加重病情甚至死亡。因此,处理急性肾衰是决定本症预后的关键。本文着重探讨血液透析(简称血透)疗法的疗效。一、资料与方法本文取自1966～1979年的本院住院病例计22例,按王季午主编的传染病学有关本病诊断和分型标准,确诊为出血热危重型伴有急性严重肾衰的病例;并初步拟定血透指征:1.少尿或无尿3天以上;2.非蛋白氨(NPN)120毫克%以上,肌酐6毫克%以上,或有高分解代谢率肾衰者;3.明显的反 Epidemic hemorrhagic fever, acute severe renal failure (acute severe renal failure), its pathophysiology complex, can cause oliguria for a long time anuria, causing water, electrolyte, metabolism and acid-base balance serious disorder. Renal failure longer, but also increase bleeding tendency. Severe pulmonary edema and brain symptoms can aggravate the disease or even death. Therefore, the treatment of acute renal failure is the key to determine the prognosis of this disease. This article focuses on the effect of hemodialysis (hemodialysis) therapy. First, the data and methods This article taken from 1966 to 1979 in our hospital, 22 cases of inpatient cases, according to Wang Jianyu’s infectious disease diagnosis and classification of the disease-related criteria for the diagnosis of severe hemorrhagic fever associated with acute severe renal failure Cases; and preliminary development of hemodialysis indications: 1. oliguria or anuria for more than 3 days; 2. non-protein ammonia (NPN) 120 mg% above, creatinine 6 mg% or more, or renal failure with high catabolism; Obvious counter