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血液透析在治疗重型及危重型流行性出血热中的应用
引用本文:曹治涵,彭乔清.血液透析在治疗重型及危重型流行性出血热中的应用[J].中南大学学报(医学版),1994(5).
作者姓名:曹治涵  彭乔清
作者单位:湘雅医院肾内科,湘潭市江南机器厂职工医院
摘    要:采用血液透析治疗重型及危重型流行性出血热315例,治愈266例(84.4%),死亡38例(12.1%),自动出院11人(3.5%),取得较好效果。提示在血液透析中选用不同的治疗方法,积极防治尿毒症,是治疗本症的关键。

关 键 词:出血热,流行性  肾功能衰竭,急性  血液透析

APPLICATION OF HEMODIALYSIS IN SEVERE AND CRITICAL TYPES OF EPIDEMIC HEMORRHAGIC FEVER
Cao Zhiham, Peng Qiaoqing.APPLICATION OF HEMODIALYSIS IN SEVERE AND CRITICAL TYPES OF EPIDEMIC HEMORRHAGIC FEVER[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1994(5).
Authors:Cao Zhiham  Peng Qiaoqing
Abstract:he results of hemodialysis in 315 cases of severe and critically ill types of epidemichemorrhagic fever(EHF)were reported.Among them 266 cases recovered(84.4%),38 died(12.1%)and 11 automatically dropped(3.5%).The hemodialysis procedure was modifiedaccording to different conditions of the patients:(1)daily hemodialysis for several days forhigh metabolic type,(2)early prevertive hemodialysis for non-highmetabolic type,(3)lower-ing temperature of the dialysis fluid for febrile patients,(4)hemodialysis with ultra smalldoze of heparin for hemorrhagics,(5)hemodialysis supplemented with normal saline for hy-potensive or shock state,(6)sequential hemodialysis for hypervolemic state,and(7)inter-mittent hemodialysis for polyuric patient with retention of nitrogenous substances. It is con-cluded that application of various hemodialysis procedures for different conditions of EHF isthe key point to tide over the patient through the uremic state.
Keywords:hemorrhagic fever  epidemic hemodialyis  kidney faiure  acute
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