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流行性出血热并发严重急性肾功能衰竭的治疗比较复杂而困难,死亡率偏高。据报道此期死亡数占各病期死亡总数的41.2～68％。这类严重肾衰的处理,效果很不满意;腹膜透析虽使死亡率有所下降,但仍不理想,特别是对危重型患者,因肾脏损坏严重,分解代谢亢进,效果更差。血液透析疗法为此类病人开辟了新的治疗途径。国外有报道血液透析疗法使死亡率下降至5％者。国内已有个别病案报道。我院自79年11月以来,用血液透析疗法治疗了6例危重型本症并发严重急性肾衰患者,取得较好疗效。报告于后。
Epidemic hemorrhagic fever complicated by severe acute renal failure is more complicated and difficult to treat, with high mortality. It is reported that the number of deaths in this period accounted for 41.2% to 68% of the total number of deaths in each phase. The treatment of such severe renal failure, the effect is not satisfied; peritoneal dialysis although the mortality rate declined, but still not ideal, especially for critically ill patients, due to severe renal damage, catabolism, the effect is worse. Hemodialysis has opened up new avenues of treatment for such patients. Hemodialysis has been reported abroad so that the mortality rate dropped to 5%. There are individual cases reported in China. Since November 1979 in our hospital, hemodialysis treatment of 6 cases of critically ill patients with severe acute renal failure, and achieved good results. Report later.