肾综合征出血热患者的临床观察及护理干预

摘要

目的：观察分析肾综合征出血热（HFRS）患者的临床特点及护理干预措施。方法回顾性分析我院42例HFRS患者临床资料，观察患者的临床症状、体征、实验室检验及器械检查结果，并收集相应有效的护理干预措施。结果在42例患者中，发热42例，皮肤黏膜出血点27例，球结膜充血水肿40例，恶心、呕吐、腹胀、腹泻消化道症状明显者36例，白细胞增高41例，血小板减少42例，重度减少36例，尿蛋白阳性42例，血肌酐进行性增高42例，丙氨酸氨基转氨酶增高37例，心电图异常10例，休克12例。结论 HFRS患者应严密观察，加强护理，控制病情，提高抢救成功率。%ObjectiveTo analyze the clinical symptoms of hemorrhagic fever with renal syndrome (HFRS) and summarize the nursing interventions. Methods The clinical data of 42 cases of patients with HFRS admitted to our hospital were retrospectively analyzed,whose clinical manifestations,laboratory results and complications were observed,and effective nursing interventions were implemented. Results In 42 patients,42 cases with fever,27 cases with mucocutaneous bleeding,40 cases with conjunctival congestion and edema,36 cases with nausea,vomiting,abdominal distension,diarrhea,obvious gastrointestinal symptoms,41 cases with increased eosinophils,42 cases with thrombocytopenia,36 cases with evere thrombocytopenia,42 cases with positive urine protein,42 cases with increased serum creatinine, 37 cases with alanine aminotransferase,10 cases with abnormal ECG,12 cases with shock.ConclusionHFRS patients should be closely observed,intensively cared,and controlled,to improve the success rate of rescue.