Hemorrhagic fever with renal syndrome hemorrhagic fever epid2017-01-24 15:55
Hemorrhagic fever with renal syndrome hemorrhagic fever epidemic, pathogen of epidemic hemorrhagic fever virus, the major pathological changes of blood vessel and capillary damage is all pervasive. Hemorrhagic fever with renal syndrome, is an important infectious disease risks to human health, is made up of epidemic hemorrhagic fever virus (hantavirus) caused by rats as the main source of natural infectious diseases. Fever, bleeding, blood, low blood pressure, shock and kidney damage as the main clinical manifestation.
Such symptoms as fever, bleeding, and kidney damage to three main symptoms, typically for five after, namely, fever, low blood pressure, shock, polyuria, oliguria and recovery period. Periods can overlap, Liang、sanqi on the face, neck and chest before diffuse flushing, facial and eyelid edema, conjunctival hyperemia, can have bleeding ecchymosis and bulbar conjunctival edema, drunk-like appearance.
Using a variety of laboratory examinations to monitor the disease, preventive treatment, preventing the emergence of lethal complications. 1, symptomatic treatment, the heat should be intravenous glucocorticoid, while giving the physical cooling,2, fluid therapy (rehydration) liquid type: balanced salt solution, Colloid, dextrose, mannitol solution, basic drugs, pay attention to the correct pH balance and prevent transfusion reactions 4, antiviral treatment of 5 active coagulation hemostasis, and prevent the occurrence of DIC. Early diagnosis, early, early treatment is the key to treatment of the disease, prevent (shock, hemorrhage, infection, kidney failure).
Physical cooling of heating period or Cortina. Low blood pressure shock when the number of blood volume, commonly used low molecular weight d-dextran, balanced salt solution and dextrose saline, blood, protein, etc. Oliguria are available as diuretics (furosemide) intravenously. Urine 20% oral mannitol and magnesium sulfate, rhubarb cathartic. Polyuria should add enough fluid and electrolytes (potassium salt), dominated by oral. After entering the recovery phase attention to prevent complications, nutrition, gradual recovery is mainly manifested as infectious Viremia and symptoms of systemic capillary damage.
Acute, fever (38 c ~40 c), three pain (headache, low back pain, eye pain) as well as nausea, vomiting, chest tightness, systemic symptoms such as joint pain, abdominal pain, diarrhea, skin and mucosa red (face, neck, and upper chest reddish), conjunctival hyperemia, drunk-like appearance. Oral Mucosa, chest, back, armpits appeared ecchymosis or bleeding spots of varying sizes, or cords, scratch-like bleeding.
There is significant bleeding should lose fresh blood to provide a large number of normal platelet function and coagulation factors; significantly reduced platelet count, platelets should lose; associated with disseminated intravascular coagulation, heparin anticoagulant therapy. Cardiac heart failure drugs; renal oliguria, according to treatment of acute renal failure: limit the amount of fluid, diuretics, maintain electrolyte and acid-base balance, impaired liver function can be given liver therapy.