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目的 分析类白血病型肾综合征出血热患者的临床特点。方法 以 47 例类白血病型肾综合征出血热患者为观察组,487例非类白血病型肾综合征出血热患者为对照组,就两组之间的临床表现进行分析对比。结果 类白血病型肾综合征出血热患者起病急聚,临床表现典型,病期重叠多,休克发生率高,肾脏损害重,并发症多,病死率高达42 55%,其主要死因为多器官功能衰竭和消化道、脑或肺出血。结论 类白血病型肾综合征出血热患者为肾综合征出血热临床类型中的一组危重病例,应引起重视。
Objective To analyze the clinical characteristics of patients with leukemia-type renal syndrome hemorrhagic fever. Methods Forty-seven patients with hemorrhagic fever with leukemia-like renal syndrome were selected as the observation group and 487 patients with non-leukemia-type renal syndrome hemorrhagic fever as control group. The clinical manifestations were compared between the two groups. Results Hemorrhagic fever with leukemia-type renal syndrome (HFRS) patients developed acute onset with typical clinical manifestations, overlapping stages, high incidence of shock, severe renal damage, multiple complications and a mortality rate of 42.55%. The main cause of death was multiple organs Failure and gastrointestinal, brain or pulmonary hemorrhage. Conclusions Hemorrhagic fever with leukemia-like renal syndrome is a group of critically ill patients with clinical manifestations of hemorrhagic fever with renal syndrome.