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1、出血热小结与题目Systemicmicrovascularendothelialedema,degenerationandnecrosisarethebasicpathologicchangesinEHF.1.Febrilestage(<7天)FeveraccompaniedwithsystemictoxicsymptomsSo-calledthreepains:Headache:becauseofcerebralvasculardilatationLumbago:duetoperirenalcongestion,edemaandretroperitonealedema.
2、Orbitalpain:becauseofedemaoforbittissue2.CapillarylesionCongestion:So-calledthreeredbecauseofskincongestion(face,neckandchest),likelyasheavydrunk,andconjunctiva,softpalateandthroatmucosaalsoevidentlycongest.Hemorrhage:Skinpointorstrippetechiaarefoundinarmpit,chestandtheback,Mucosalpointpe
3、techiafoundonsoftpalate,Conjunctivepatchealhemorrhage.Hemoptysis,melena,hematuria,andepistaxisarerarelyseenExudativeedema:ofconjunctiva,appearsaswaterwave,bubble,orextrudeoutofeyelidandascites3.RenalinjuryWithproteinuria(+++),andcastswerefoundundermicroscopy临床分型：根据体温、休克、出血、肾损害程度可分为轻、中、重、危
4、重、非典型型。临床分型体温出血少尿休克轻<39oC少（―）（―）中>39oC明显倾向低血压重>40oC腔道出血少尿5日、无尿2日内休克非典型<380C（±）蛋白可疑抗EHF-IgM(+)（―）ThecriticaltypeAppearedoneofthefollowingitemsonthebasisofcriteriaofseverecases:SeveresuperimposedinfectionRefractoryshockOligurialastsmorethan5daysoranurialastsmorethan2daysorBUNexceed42.84mmol
5、/L.CNScomplicationLeftventricularfailureand/orpulmonaryedemaMassivevisceralbleeding电解质K+Na+Cl-Ca2+发热期↓↓↓↓休克期↓↓↓↓少尿期↑or↓↓↓↓多尿早期↑or↓↓↓↓多尿后期↓↓↓↓thefebrilephase：controlofinfection---libavirin1g/dfor3-5daysisindicatedbeforethe4thdayaftertheonsettoreduceextravascular---路丁Vitc1000ml±rutinandVitC
6、balancedsaline1000mlisindicated,Andmannitolmaybeindicatedduringthelatephasetoreduceinfiltrationandtissueedema.toimprovetoxicsymptoms---hyperpyrexiamainlyusephysicalcooling；灭吐灵或胃复安可止呕。***and***canusedforantivomiting.TopreventDIC---低佑、丹参注射液降低血液粘滞性lowmoleculardextroseandDansheninjectionstore
7、ducebloodviscosity，Andheparin0.5-1mg/kgIVper6-12hrsduringearlyDIC,1-3timesmightpreventprogressionofDICSupplementationofvolumedifficiency：early.,rapid,andappropriatearetheprinciples.以平衡盐为主晶胶结合（低分子右旋糖酐、甘露醇、血浆、白蛋白）忌单纯输葡萄糖液、禁忌全血mainlyusebalancedsaline,combineduseofcryst
