肾综合征出血热原发肺损害42例临床分析  

Clinical analysis of 42 patients with primary lung damage of hemorrhagic fever with renal syndrome

作　　者：艾黎明 黄小俊[1] 何小成[1] 陈红义[1] 

机构地区：[1]天门市第一人民医院感染科,湖北天门431700

出　　处：《临床急诊杂志》2014年第1期41-42,共2页Journal of Clinical Emergency

摘　　要：目的:探讨肾综合征出血热(HFRS)原发肺部损害的发生发展规律。方法:对具有肺部影像学资料的肾综合征出血热124例中发生肺部损害的42例进行回顾性分析。结果:HFRS原发肺部损害发生于发热期、低血压休克期和少尿期,以低血压休克期发生率最高,恢复于多尿期和恢复期,多呈自限性过程。临床症状多不明显,肺部损害以胸腔积液和实质性病变为主。呼吸费力、呼吸困难是肺部损害加重的指征。肺部CT检查可以尽早发现肺部损害。结论:HFRS原发肺部损害是危重型患者形成和死亡的重要原因和促进因素。Objective： To explore the development law of the primary lung damage in patients with hemorrhagic fever with renal syndrome（ HFRS）. Method： 124 HFRS cases with lung imaging data were retrospectively analyzed. There were 42 cases of HFRS patients with lung damage. Result： The primary lung damage of HFRS occurred in fever period,hypotension period and oliguria period. The incidence was higher in the hypotension shock period of HFRS. The lung damage in most HFRS patients were recovered in diuresis period,and recovery period appeared as a self-limited process. The clinical symptoms were unobvious in most patients with primary lung damage of HFRS. Only when the lung damage aggravated did the clinical symptoms show as dyspnea. The damages of lung were mainly lung parenchymal injury and pleural effusion. Conclusion： The primary lung damage of HFRS was the important reason and the promoting factor for the critical illness and the death in HFRS.

关 键 词：肾综合征出血热 肺部损害 发病学 

分 类 号：R692[医药卫生—泌尿科学]