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流行性出血热(EHF)之危重型,病势急、病死率高。我院自1980年以来,共收治17例,死亡12例、病死率70.6%。现将死亡病例之临床表现与同期收治之轻、中型24例作一比较,以对危重型临床资料之诊断标准再探讨。一、临床症状:见表1、2。其他症状如头痛、腰痛、眼眶痛、肾区叩痛、呕吐、腹泻、呢逆、嗜睡、少尿等两组比较并无显著差异(P>0.05)。二、临床体征:危重型死亡组有血压异常者10例(83.2%),其中低血压或休克者7例、高血压3例。而轻、中型组均在正常,或早期曾有低血压但迅速恢复。其他体征见表3。
Epidemic hemorrhagic fever (EHF) of the critical type, the situation is urgent, high mortality. In our hospital since 1980, a total of 17 cases were treated, 12 patients died, the fatality rate was 70.6%. Now the clinical manifestations of death cases and the same period of treatment of light, 24 cases of a comparison for the critically ill clinical data diagnostic criteria and then to explore. First, the clinical symptoms: see Table 1 and 2. Other symptoms such as headache, back pain, orbital pain, renal area percussion pain, vomiting, diarrhea, reversal, lethargy, oliguria and other two groups showed no significant difference (P> 0.05). Second, the clinical signs: 10 cases of critically ill deaths were abnormal blood pressure (83.2%), including 7 cases of hypotension or shock, hypertension in 3 cases. The light and medium groups were in normal, or had early low blood pressure but rapid recovery. Other signs in Table 3.