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1985年～1987年我科收治中、重型流行性出血热(以下简称流热)病人20例。随机分为甲、乙两组。甲组早期应用地塞米松。乙组为对照组,发热期仅给予退热剂(消炎痛或安乃近)和清瘟剂对症处理。现将两组治疗观察结果介绍如下: 临床资料病例选择两组病例均符合下述的临床特点: 1.发热中毒症状明显,有短期发热、“三痛”,尤以腰痛为甚。 2.有充血、出血、水肿体症。 3.有肾脏损害的表现,包括少尿、蛋白尿、红细胞尿及肾定叩痛。 4.“五期”经过明确。 5.实验室检查血、尿常规呈典型流行性出血热改变。分型标准参照《传染病学》分型标准。甲组10例,男3例、女7例;其中重型5例,中型5例;年龄16～70岁;发病到入院时间2～7天。乙组10例,男性6例,女性4例;重型5例,中型5例;年
From 1985 to 1987, our department admitted 20 cases of moderate and severe epidemic hemorrhagic fever (hereinafter referred to as fluid fever). Randomly divided into A, B two groups. Group A early application of dexamethasone. Group B as a control group, fever only given antipyretics (indomethacin or analgin) and symptomatic treatment of blasting agent. Now the two groups of treatment observations are as follows: Clinical data Select two cases of patients with clinical features are in line with the following: 1. Fever symptoms are obvious, short-term fever, “three pains,” especially low back pain is even worse. 2. There congestion, bleeding, edema disease. 3. The performance of kidney damage, including oliguria, proteinuria, erythrocyte urine and renal fixed percussion pain. 4. “Five” after a clear. 5. Laboratory tests of blood, urine showed typical epidemic hemorrhagic fever changes. Classification criteria refer to “infectious diseases” classification criteria. A group of 10 cases, 3 males and 7 females; of which 5 cases of heavy, medium 5 cases; aged 16 to 70 years; onset to admission 2 to 7 days. Group B 10 cases, 6 males and 4 females; heavy in 5 cases, 5 cases of medium;