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1982年4月3日至5月5日一个月中,我们发现某自然村中一家四口先后全部患流行性出血热。除做了家访和调查外,又从血清学方面加以证实,情况如下。患者王×,男,22岁,1982年4月3日开始全身关节疼痛,高热不退,于4月5日入院,体查:体温39℃,血压110/70mmHg,血象异型淋巴细胞占7%,尿量24小时500毫升,尿中可见透明管型,蛋白(+),面部为酒醉貌,眼结膜充血,有出血点,腋下出血点呈条状分布,诊断为流行性出血热。给予补液、抗炎和激素治疗,5天后尿量多达2900毫升/24小时,病情稳定,患者自觉症状好转,于4月19日出院。汪×(患者母亲),58岁,在医院照料王×住院期间,于4月12产开始畏塞、发热,16日住院,其病程经过与王相同,4月26日痊愈出院。
During the one-month period from April 3 to May 5, 1982, we found that all four of the four natural villages had all had epidemic hemorrhagic fever. In addition to home visits and surveys, it was confirmed from the serological aspects as follows. Patients Wang ×, male, 22 years old, April 3, 1982 began body joint pain, high fever, admitted on April 5, physical examination: body temperature 39 ℃, blood pressure 110 / 70mmHg, blood atypical lymphocytes accounted for 7% , Urine output 24 hours 500 ml, visible in the urine transparent tube, protein (+), facial drunk appearance, conjunctival hyperemia, bleeding, armpit bleeding points were strip distribution, diagnosis of epidemic hemorrhagic fever. Given rehydration, anti-inflammatory and hormone therapy, 5 days after the urine up to 2900 ml / 24 hours, stable condition, patients with symptoms improved, discharged on April 19. Wang × (mother of the patient), 58 years old, taking care of the king in the hospital × During the hospitalization, she began to receive a fever on April 12 and was hospitalized on the 16th. The course of her illness was the same as that of the king and was discharged on April 26.