107例流行性出血热继发感染及对病情的影响

对107例EHF继发感染进行了分析,发现半数继发感染见于多尿期,其次见于少尿期。常见的继发感染是肺部炎症,其中敗血症对病情及预后的影响最大。5例敗血症患者有3例死亡,死亡原因主要是肾功能恶化。肺部感染亦可加重肾损,导致2次肾衰,甚至诱发肺水肿、DIC与难治性休克。本文还对EHF的原因进行了探讨。

Influence of Secondary Infection on Prognosis of Epidemic Hemorrhagic Fiver

107 cases of secondary infection occurred in the course of epidemic hemorrhagic fever (EHF) were analysed. It was found that in about half of the patients secondary infection appeared in the polyuric stage, and the oliguric stage. The secondary infections commonly seen were pulmonary, upper respiratory and intestinal infections. Septicemia was a seldom and severe complication which often accompanied poor prognosis. Of the 5 patients with septicemia 3 died of oxemia and acute renal failure. Pumonar infection might lead to secondary ienalfailure, pulmonary edema, DIC, and refractory shock. The predisposing factors alout the secondary infections are discussed in this paper.