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目的：探讨高渗葡萄糖溶液治疗流行性出血热（EHF）的疗效。方法：用高渗葡萄糖溶液治疗EHF232例，并以平衡盐液治疗EHF230例作对照。结果：高渗葡萄糖溶液组患者的水肿、低血压休克的持续时间均短于平衡盐液组[（6±2对7±2）d，（17±5对21±6）h]，氮质血症轻于平衡业液组[血尿素氨（27±9）mmol／L对（29±10）mmol／L，肌酐（587±104）μmol／L对（600±98）μmol／L]；并发症的发生率和病死率也低于平衡盐液组（分别为26．7％对55．7％，9．5％对15．7％）。结论：以高渗葡萄糖溶液治疗EHF优于平衡盐液。
Objective: To investigate the efficacy of hypertonic glucose solution in the treatment of epidemic hemorrhagic fever (EHF). Methods: EHF was treated with hypertonic glucose solution in 232 cases, and balanced salt solution was used to treat EHF230 as control. Results: The duration of edema and hypotensive shock in hypertonic glucose solution group was shorter than that in balanced saline group [(6 ± 2 vs 7 ± 2) d, (17 ± 5 vs. 21 ± 6) h], nitrogen Serum levels were lower in the placebo group than in the placebo group (29 ± 10 mmol / L vs 58 ± 104 mmol / L vs 600 ± 98 μmol / L vs 27 ± 9 mmol / L for ammonia) Complications and mortality were also lower in the balanced salt group (26.7% vs. 55.7%, 9.5% vs. 15.7%, respectively). Conclusion: Hypertonic glucose solution is superior to balanced salt solution in treating EHF.