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流行性出血热并发症较多且严重,但少报道并急性血管内溶血者,现将我科收治1例报道如下。 刘××,男性、40岁、住院号305174。因畏寒发热3天,继而少尿3天、多尿3天,酱油尿4天,于1987年4月25日入院。患者于4月12日起出现畏寒发热,体温高达40℃,伴头痛、全身痛。病程第3天血压0/0kPa,经补液、纠酸后次日血压恢复正常。第3天尿量减少,每日约300ml。实验室检查:Hb 150g/L,白细胞56×10~9/L,异常淋巴细胞8％,血小板31×10~9/L,尿蛋白~(++),BUN 11.78mmol/L。病程第7天尿量逐日增加,多者达6300ml/日,自觉症状明显好转。病程第9天再次发热,体温38℃,小便呈酱油色,每日2000ml左右.
More complications of epidemic hemorrhagic fever and severe, but less reported and acute intravascular hemolysis, now we receive a case reported as follows. Liu × ×, male, 40 years old, hospital number 305174. Fever for 3 days because of chills, then oliguria 3 days, 3 days of polyuria, soy sauce, urine 4 days, on April 25, 1987 admission. Patients with chills and fever on April 12, body temperature up to 40 ℃, with headache, body pain. Course of the first 3 days of blood pressure 0 / 0kPa, after rehydration, correct blood pressure after acid reflux the next day. Day 3 urine output decreased, about 300ml daily. Laboratory tests: Hb 150g / L, WBC 56 × 10 ~ 9 / L, abnormal lymphocytes 8%, platelets 31 × 10 ~ 9 / L, urinary protein ~ (++), BUN 11.78mmol / Urine volume increased day by day on the 7th day, with more than 6300ml / day, and the symptoms improved obviously. Course of the first 9 days fever again, body temperature 38 ℃, urine was soy sauce, daily 2000ml.