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流行性出血热(EHF)并自发性肾破裂是少见的严重并发症,死亡率高。我科收治一例,并经保守治疗治愈,报告如下。王某,男,46岁,农民。以发热头痛、全身痛7d,腰痛5d,呕吐伴顽固性呃逆无尿1d,于1985年11月11日入院。入院前曾用过庆大霉素,复方新诺明及安乃近等治疗,用药3d无好转。既往健康,无高血压病史。查体:T38.5℃,P92次/min,R26次/minBP16/13.3kPa。急性热病容,颈、胸部皮肤充血,未见皮肤淤点及淤斑。全身浅表淋巴结无肿大。眼结膜充血,轻度水肿,瞳孔等大等圆,对光反射存在。
Epidemic hemorrhagic fever (EHF) and spontaneous renal rupture are rare serious complications with high mortality. I received a case of treatment, and cured by conservative treatment, the report is as follows. Wang, male, 46 years old, farmer. Fever headache, body pain 7d, back pain 5d, vomiting with intractable hiccup anuria 1d, on November 11, 1985 admission. Before the hospital had used gentamicin, cotrimoxazole and metamizole and other treatment, medication 3d no improvement. Past health, no history of hypertension. Physical examination: T38.5 ℃, P92 times / min, R26 times / minBP16 / 13.3kPa. Acute fever, neck, chest skin congestion, no skin spots and ecchymosis. Systemic superficial lymph nodes without swelling. Conjunctival hyperemia, mild edema, pupils and other large circle, the presence of light reflex.