危重型肾综合征出血热(HFRS)病情复杂多变,尤其在病程进入急性肾功能衰竭(ARF)少尿期阶段时,病情可迅速恶化,出现多种并发症,病人多死于此期,病死率达50～70％。我科对43例危重型HFRS—ARF患者的血液透析(HD)指征大胆放宽,灵活掌握,其目的争取时间及早HD治疗,防止或减少ARF的出现,缩短少尿期时间,使危重型HFRS—ARF及早度过,顺利进入多尿期,从而使病情改善。 Severe renal syndrome hemorrhagic fever (HFRS) is a complicated and changeable condition, especially in the course of oliguria stage of acute renal failure (ARF), the condition can deteriorate rapidly, a variety of complications appear, the patients die more in this period, Case fatality rate of 50 to 70%. Our department boldly relax and flexibly grasp the indication of hemodialysis (HD) in 43 critically ill patients with HFRS-ARF. The purpose of this study is to seek time and early HD treatment to prevent or reduce the occurrence of ARF, shorten the period of oliguria, -ARF and early over, smooth access to polyuria, so that the condition improved.