肾综合征出血热并发胃肠功能衰竭64例临床分析

目的探讨肾综合征出血热(HFRS)并发胃肠功能衰竭的原因及治疗措施。方法选择我院近2年所收治HFRS并发胃肠功能衰竭者进行回顾性分析。结果156例HFRS患者中64例出现胃肠功能衰竭 ,占41.1% ,临床表现为腹胀45例 ,胃肠粘膜出血44例 ,肠鸣音消失、肠麻痹53例 ,胃肠功能衰竭于第3病日即可出现 ,少尿期发生率最高 ,其次为低血压休克期 ,且胃肠功能衰竭发生时间越早 ,预后越差。结论HFRS并发胃肠功能衰竭的原因是多方面的 ,临床应采取以防治消化道出血、促进胃肠蠕动功能恢复、纠正电解质紊乱及输血或成分输血为主的综合治疗措施

Clinical study of Hemorrhagic fever with renal syndrome combining gastroenteric function failure in 64 patients

Objective To study pathogenic reason and therapy method of Hemorrhagic fever with renal syndrome (HRFS) combining gastroenteric function failure. Methods To analyze retrospectively patients of Hemorrhagic fever with renal syndrome combining gastroenteric function failure who have been accepted in our hospital in the past two years. Results Among 156 cases of HRFS there were 64 cases presented gastroenteric function failure at the rate of 41.4%: 45 cases manifested abdomen bulge, 44 cases manifested gastroenteric mucous membrane hemorrhage, 53 cases manifested intestines ring disappearing or intestines paralysis. Gastroenteric function failure emerged in the third disease day, and occurred mostly in the oliguria period and secondly in the hypotension shock period. The earlier the gastroentric function failure took place, the worse the prognosis was. Conclude The etiology reason of HRFS combining gastroenteric function failure is various. In clinical integrative therapy measures including some methods are used to prevent from the alimentary canal hemorrhage, to promote gastroenteric peristalsis function to restore or to rectify electrolyte turbulence and transfuse or composition transfuses.