口服甘露醇治疗流行性出血热腹痛

流行性出血热(EHF)的临床表现多种多样,其基本病理改变是全身小血管和微循环系统的广泛损害,导致血管壁脆性增加、通透性增强、血浆外渗及循环障碍,以及由此而引起的全身各组织器官的病理损害。腹痛型EHF则以腹部各组织器官的病理损害为著,特别表现在肠壁及肠系膜的充血、水肿或溢血,以及腹膜后组织的严重水肿,这可能是导致本病腹痛的主要原因,为此,笔者对腹痛型EHF采用了口服甘露醇——肠道脱水疗法,获得了满意的效果,特介绍如下。

ORAL ADMINISTRATION OF MANNITOL IN RELIEVING ABDOMINALGIA IN PATIENT SUFFERING FROM EPIDEMIC HEMORRHAGIC FEVER

The result of the treatment through oral administration of Mannitol for epidemic hemorrhagic fever (EHF) with abdominalgia is reported. This application gives a quick relief of pain with high curative effect, and is safe and simple. Moreover, it can prevent the deterioration of EHF. Therefore, this treatment can be applied extensively. In addition, in order to differentiate with the similar abdominalgia of other diseases, especially the pain in surgical acute abdomen, the characteristics and the causes of such pain in EHF are discussed.