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出血是肾综合征出血热最常见的临床表现。而颅内出血是该病最严重的并发症,预后差,死亡率高。患者突感头痛、呕吐,继而出现神志不清,甚至有颅内压增高、脑疝等。我院自1990～1998年收治的肾综合征出血热病人中确诊并发颅内出血32例。现报道如下。 1 临床资料 1.1 一般资料:32例均为住院病人,并经血清HFRS特异性IgM抗体检测确诊。男24例,女8例,年龄24～58岁,平均39.6岁。 1.2 临床表现:发生在少尿期21例,多尿期9例,恢复期2例,都为重型或危重型患者,其中8例发生在血液透析治疗期间。伴随症状或体征发生情况:头痛32例,呕吐32例,抽搐15例,意识障碍25
Bleeding is the most common clinical manifestation of hemorrhagic fever with renal syndrome. The intracranial hemorrhage is the most serious complication of the disease, the prognosis is poor, high mortality. Patients with sudden headache, vomiting, followed by delirium, and even increased intracranial pressure, hernia and so on. Our hospital from 1990 to 1998 admitted to patients with hemorrhagic fever with renal syndrome complicated by intracranial hemorrhage in 32 cases. Report as follows now. 1 Clinical data 1.1 General information: 32 cases were hospitalized patients, and confirmed by serum HFRS specific IgM antibody test. 24 males and 8 females, aged 24 to 58 years old, with an average of 39.6 years old. 1.2 Clinical manifestations: occurred in oliguria in 21 cases, polyuria in 9 cases, convalescent in 2 cases, all patients with severe or critically ill, of which 8 occurred during hemodialysis treatment. Accompanied by symptoms or signs of occurrence: 32 cases of headache, vomiting in 32 cases, 15 cases of convulsions, disturbance of consciousness 25