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我院自1987年4月至1992年12月间对住院的236例流行性出血热(出血热)患者(伴有急性肾功能衰竭(急性肾衰)48例,占20%(采用中西医结合治疗,获得满意疗效,报告如下.1 临床资料1.1 一般资料 本组病例按1986年全国出血热会议的诊断分型标准和出血热急性肾衰的诊断标准.其中重型32例,危重型16例.男37例,女11例.年龄16～76岁.1.2 治疗方法 入院后以复方丹参注射液20～60ml加入林格氏液静滴为基础治疗;用生大黄粉口眼,每次3～5g,1日3次或生大黄煎剂口服和灌肠,每次10～60g煎成100～500ml,1日l～3次.酌量使用速尿静注.部分病例并用654-2每日10～20mg静滴或静注;短期并用地塞米松每日10～20mg分次静注及肾区热敷等综合治疗.
In our hospital from April 1987 to December 1992 for the hospitalized 236 cases of epidemic hemorrhagic fever (hemorrhagic fever) patients (with acute renal failure (acute renal failure, 48 cases, accounting for 20% (using traditional Chinese and Western medicine Treatment, obtain satisfactory curative effect, the report is as follows.1 Clinical data 1.1 General information The group of patients according to the 1986 national hemorrhagic fever diagnostic criteria and diagnostic criteria for acute renal failure, of which 32 cases of heavy and 16 cases of critical type. 37 males and 11 females aged from 16 to 76. 1.2 Treatment After admission to the compound Danshen injection 20 ~ 60ml Ringer’s solution as the basis for treatment; with rhubarb powder mouth, each 3 ~ 5g , 3 times a day or raw rhubarb decoction orally and enema, each 10 ~ 60g decoction 100 ~ 500ml, on the 1st l ~ 3 times .Use the use of furosemide intravenous injection .In some cases and 654-2 daily 10 ~ 20mg Intravenous infusion or intravenous; short-term use of dexamethasone daily 10 ~ 20mg intravenous injection and heat and other comprehensive treatment of the kidney area.