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目的：对３６９例典型肾综合征出血热（ＨＦＲＳ）患者疼痛现象进行了总结和分析。结果：（１）头痛、腰痛、眼眶痛、腹痛、全身痛较为常见，其平均发生率依次为６７．５％、６０．７％、３３．６％、３３．９％、２９．３％；除腹痛外，各型别间各种疼痛的发生率无显著性差异。这些疼痛现象对于建立临床诊断有重要参考价值。（２）头痛部位以额颞部为多见。多数患者的疼痛为隐痛、胀痛；重痛患者头痛剧烈、持续时间长；若伴有精神、神经症状，常提示病情严重。（３）腹痛的发生率与病情有关，病情越重，发生率越高；腹痛与肝损害（主要表现为ＡＬＴ升高）及消化道出血的发生率有关。（４）ＨＦＲＳ患者的疼痛模式中以“两痛”（头痛、腰痛）为多见，可达半数左右，能作为本病早期诊断的线索。（５）老年人罹患本病后疼痛的发生率较低，有可能成为导致本病误诊、漏诊的重要因素。
Objective: To summarize and analyze the pain of 369 patients with typical hemorrhagic fever with renal syndrome (HFRS). Results: (1) Headache, back pain, orbital pain, abdominal pain and general ache were common. The average incidence rate was 67.5%, 60.7%, 33.6%, 33.9% and 29.3% respectively. In addition to abdominal pain, the various types of pain between the incidence of no significant difference. These pain phenomena have important reference value for establishing clinical diagnosis. (2) head and neck parts of the frontotemporal more common. Most patients with pain pain and pain; severe pain patients with severe headache, long duration; if accompanied by mental, neurological symptoms, often prompted a serious condition. (3) The incidence of abdominal pain and the disease, the more serious the disease, the higher the incidence; abdominal pain and liver damage (mainly elevated ALT) and the incidence of gastrointestinal bleeding. (4) “Two pains” (headache, lumbago) are common in the pain pattern of HFRS patients, reaching up to about half, which can serve as a clue for the early diagnosis of this disease. (5) The incidence of pain after the onset of the disease in the elderly is low, which may be an important factor leading to misdiagnosis and missed diagnosis of the disease.