中西医结合治疗危重型肾综合征出血热1例  

A case of severe hemorrhagic fever with renal syndrome treated with integrated traditional Chinese and western medicine

作　　者：李慧英 孙克伟[1] LI Huiying;SUN Kewei(Hunan University of Chinese Medicine,Hunan,Changsha 410208,China)

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《中国医药科学》2022年第10期185-188,共4页China Medicine And Pharmacy

基　　金：湖南中医药大学中医学国内一流学科建设学科项目(湘教通[2018]469号)。

摘　　要：我院收治一名危重型肾综合征出血热并发多脏器损害的患者,以“发热、气促、乏力”为首发症状入院治疗,初期考虑感染性发热合并脓毒血症,起病急,病程进展迅猛,并发多脏器损害,病情危重,在早期病史及实验室检查未能明确支持诊断为肾综合征出血热的情况下,多学科协同诊治,中西医并举,患者短期内症状基本缓解,各项指标明显改善,预后良好,表明起病初期及时予以中西医结合疗法效果较好,值得临床借鉴和推广。A patient with severe hemorrhagic fever with renal syndrome complicated by multi-organ damage and with the initial symptoms of"fever,shortness of breath,and weakness"was admitted to our hospital.It was initially considered to have infectious fever complicated with sepsis with acute onset,rapid progression,complicated by multi-organ damage,and critical condition.In the case that the hemorrhagic fever with renal syndrome was not clearly diagnosed based on the early disease history and laboratory tests,the patient’s symptoms were basically relieved within a short period of time,and each index was improved with a good prognosis by multidisciplinary diagnosis and treatment together with integrated Chinese and western medicine,indicating that timely treatment with integrated Chinese and western medicine at the early stage of the disease is effective and worthy of clinical reference and promotion.

关 键 词：感染性发热 肾综合征出血热 脓毒血症 多脏器损害 中西医结合治疗 病例报告 

分 类 号：R512.8[医药卫生—内科学]