流行性出血热急性肾功能衰竭77例的治疗体会

<正> 由于休克治疗的进展,流行性出血热(简称出血热)死于休克者已有明显的减少,而急性肾功能衰竭(简称急性肾衰)。则成为主要的致死原因。我科1962年1月～1982年8月收治典型出血热292例,发生少尿型急性肾衰77例,其中死亡18例,病死率为23.4％。

TREATMENT OF ACUTE RENAL FAILURE ASSOCIATED WITH EPEDEMIC HEMORRHAGE FEVER

This article reports 77 cases of acute renal failure associated with epedemic hemorrhage fever (EHF). Of the cases, 36 received synthetic therapy, 24 received both diuretic and synthetic therapy, and the rest received peritoneal dialysis. The results showed that peritoneal dialysis shortened the duration of the disease, decreased the symptoms and azotomia, and especially reduced the fatality rate of the disease (The fatality rates of the three groups were 33.3％, 20.8％ and 5.9％ respectively), The authors recommend that peritoeal dialysis be taken in the clinical treatment of the acute renal failure associated with EHF. The earlier it is used, the better. In the process of using this method, care should be taken to prevent the peritoneal infection, and patients should be treated promptly even if the infection occurs. The general prevention of acute renal failure is the basic strategy for the treatmeht of EHF.