1例腎綜合征出血熱並多臟器功能衰竭病例診治體會.pdfVIP

揄文橐编 世界中臀禁晕翕磷合畲急症事棠委具舍成立大官暨第一眉擘衙舍蕺 Committee ofWordFederationofChineseMedicineSocieties Specialty ofEmergency 1例肾综合征出血熟蓝多威器功能衰竭病例轸治髓舍 碾忠德李隙强黄漓亮 庚柬省中瞽院急诊科(庚束庚州510120) feverwithrenal 目的：德结罾综合征出血熟(hemorrhagic syndrome，HFRS)的喻床特黠，提高其 诊断水犟。方法：封1例肾综合征出血熟蓝多朦器功能衰竭病例造行鞭尊，蓝封诊治遇程造 行分析德结。结果：患者以骚熟呕吐腹漓稳主诉束诊，伴有急造性肾炎、急性肾功能衰竭， 迅速造展捣晨重腱毒症、感染性多器官功能障碾综合征(肝、臀、凝血)，经抗感染、器官 支援治瘵後病情好辖。结箫：封急性骏熟性疾病患者，虑仔细探集包括流行病晕在内的病史 资料。特冥性抗醴榆测利於碴轸，器官支援、炎症．免疫调筋治瘵赣撺了重要作用。 阴键字：臀综合征出血熟；多臌器功能衰竭；殿重胰毒症 summarizetheclinicalcharacteristicsof feverWimrenal ohjective：To hemorrhagic the ofim andtreatment．Methods：Tothe syndrome(HFRS)andimproveabilitydiagnosis study clinical andoutcomeofonecaseof feverwithrenal manifestation，treatment hemorrhagic and failure．Result：Patientwith and syndromemultipleorgan complaintfever,vomiting with renal Diarrheaing，accompaniedrapidlyprogressiveglomerulonephritis，acutefailure，rapid tosevere progression sepsis，septicmultiorgandysfunction theanti—infectionand condition treatment，the clotting)，after organsupport improved．Conclusion： Patientswithacutefebrileillnessshouldbe collectedwim carefully medical history,including antibodiesisdetectbeneficialto and epidemiology．specific diagnosisorgansupport，inflammation roleat an thiscase． —immunomodulatorytherapyplaysimportant feverwithrenal Keyword：Hemorrhagic