流行性出血热是一种由病毒引起的自然疫源性传染病.起病急,病情重,死亡率高。我院自1972年至1985年有3例出血热被误诊为急性肾炎收入内科,经临床观察及检查出血热特异性抗体方确诊。一、临床资料例1 男,34岁。因发热、恶心,呕吐5天,尿少3天急诊入院。入院前5天无明显诱因突感寒冷发热,鼻塞,以为是“感冒”未治疗。翌日病情加重,呕吐为非喷射状胃内容物。入院前3天有尿少,血压下降至9.3/5.3kPa(70/40mmHg),外院以“上感”合并脱水治疗无效,门诊以“急性肾炎”收内科治疗。患者既往身体健康。查体:体温 Epidemic haemorrhagic fever is a naturally foci contagious disease caused by a virus.Its acute onset, severe illness and high mortality. In our hospital from 1972 to 1985, 3 cases of hemorrhagic fever were misdiagnosed as acute nephritis income medical department, confirmed by clinical observation and hemorrhagic fever-specific antibodies. First, the clinical data example 1 male, 34 years old. Due to fever, nausea, vomiting for 5 days, less urine 3 days emergency admission. 5 days before admission no obvious incentive to sudden cold fever, nasal congestion, thought it was “cold” untreated. The next day the condition worsened, vomiting non-jet-like stomach contents. 3 days before admission, there is less urine, blood pressure dropped to 9.3 / 5.3kPa (70 / 40mmHg), the hospital to “sense” combined with dehydration therapy invalid, out-patient “acute nephritis” received medical treatment. In the past, the patient was in good health. Physical examination: body temperature