肾灌洗治疗流行性出血热发热期  

Study on the Therapy of Penal Perfusion in EHF Patients

作　　者：陈华嘉[1] 黄秉枢 孙万邦 张兴毅 曾庆觉 张富德 张惠泉 

机构地区：[1]遵义医学院EHF研究协作组

出　　处：《遵义医学院学报》1990年第3期25-28,共4页Journal of Zunyi Medical University

基　　金：贵州省七五攻关资助课题

摘　　要：应用肾灌洗疗法(扩容加利尿)治疗流行性出血热(EHF)发热期病人116例,与以常规治疗的对照组116例进行疗效比较观察,结果表明,肾灌洗疗法在发热期热程上明显短于对照组;在低血压持续时间‘中型’比对照组有显著性差异;在出血点瘀斑消退时间,血小板数回升时间等指标观察中,治疗组均优于对照组;在尿蛋白、BuN等项目中较对照组恢复时间短。肾灌洗疗法能减少加重率发生,提高治愈率,治疗组病人治愈率为99.14%。232 cases of epidemic hemorrhagic fever(EHF) admitted in our hospital during 1987-1989 were randomly divided into two groups.The patients were in the febrile stage of the disease.116 pa- tients were treated with the'renal perfusion'(i.e.dilating the volume of the blood and diuresis)ther- apy(Group A)and the other 116 patients were treated with the'traditional supportive therapy'as control group(Group B).In comparision,the result showed that the fever duration was apparently shorter in group A than in group B;the hypotension continuous time in the middle type there was a sig- nificant difference between two groups(p<0.01);the disappearing time of petechiae and ecchymoses and the time of the blood platelet counts returning to normal were much shorter in group A than in group B;renal functions:the periods for the proteinuria to disappear and BUN values returning to nor- mal were shorter in gorup A than in group B.It was suggested that the renal perfusion therapy could reduce the severity rate of the disease and promote the cure rate.The cure ratewas99.4%.

关 键 词：流行性出血热 肾灌洗 

分 类 号：R512.805[医药卫生—内科学]