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目的:探讨本地区肾综合征出血热(HFRS)合并肝损害的临床特点。方法:对首都医科大学燕京医学院附属密云医院1999-03/2003-05收治的23例HFRS患者的肝功能及相关指标进行回顾性分析。结果:23例HFRS患者均有不同程度的肝损害且发生在发热期,表现为转氨酶轻、中度升高。结论:肾综合征出血热早期即可出现肝损害,以转氨酶轻至中度升高为特征,肾综合征出血热病程早期进行保肝降酶治疗,有助于病情的恢复及可缩短住院时间。
Objective: To investigate the clinical characteristics of hemorrhagic fever with renal syndrome (HFRS) associated with liver damage in this area. Methods: The liver function and related indexes of 23 patients with HFRS admitted from Miyun Hospital Affiliated to Yanjing Medical College of Capital Medical University from March 1999 to May 2003 were retrospectively analyzed. Results: All the 23 HFRS patients had different degree of liver damage and occurred in the febrile period, showing mild to moderate transaminase. Conclusion: Hemorrhagic fever with renal syndrome early may appear liver damage, characterized by mild to moderate elevated aminotransferase, hemorrhagic fever with renal syndrome early hepatoprotective enzyme therapy, help to restore the condition and can shorten the length of stay .