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以并发症为突出表现的流行性出血热病例在临床上时有出现,易误诊或漏诊。现综合报道如下。一、内脏出血、破裂、感染例1:肾包膜下出血金某,女,31岁,因发热3天后尿少伴腰痛2天入院。体检:两腋下及背部抓痕样出血点,球结膜水肿,两肾区叩痛。化验:血白细胞22×10~9/L,血小板50×10~9/L,尿蛋白(++++),红细胞(+),尿素氮24.6nnol/L,肌酐442μmol/L,出血热抗体1:1280阳性。入院后翌日晚突感腹部及后腰部剧痛,血尿,两肾区有叩痛,以左侧为甚,血红蛋白及血红细胞各为52g/L及1.52×10~(12)/L,尿常规:蛋白(+++),红细胞(++++),B型超声波探查:两肾增大,肾包膜完整.肾周穿刺抽出少量不凝
Cases of epidemic hemorrhagic fever with the complication as the outstanding manifestation appear in the clinic often, misdiagnosis or misdiagnosis. Now comprehensively reported as follows. First, the visceral hemorrhage, rupture, infection Example 1: renal capsule hemorrhage Kim, female, 31 years old, 3 days after fever due to oliguria accompanied by low back pain 2 days admission. Physical examination: two armpits and back scratches like bleeding, conjunctival edema, two kidney area percussion pain. The results showed that the blood leukocyte count was 22 × 10 ~ 9 / L, the platelet count was 50 × 10 ~ 9 / L, the urinary protein (++++), the red blood cell (+), the urea nitrogen 24.6nnol / L, the creatinine 442μmol / 1: 1280 positive. On the day after admission, sudden sensation in the abdomen and lower back pain, hematuria and perineural area were felt, and the left side was very painful. Hemoglobin and red blood cells were 52g / L and 1.52 × 10-12 / L respectively, : Protein (+++), red blood cells (++++), type B ultrasound probe: two kidneys increased, renal capsule integrity. Perineal puncture small amount of non-condensate