摘要
1968年5月上旬在新疆巴楚县阿克沙克马拉勒地区发现出血热患者2例。分别在发病后第3和第5天入院。例1属典型病例,入院后立即肌注山羊抗巴楚出血热病毒免疫血清60mL及氢化考地松100~200mg/日,没有出现严重出血症状,入院第5天体温降至正常。例2属轻型病例,主要表现为顽固的鼻出血,经小量输血及皮质激素治疗后,于入院第7天体温正常。两例均痊愈出院。从2例病人血液标本中皆分离出病毒。补体结合抗体各在发病后第16天和第20天出现,至病后3个月时抗体滴度达1∶128和大于1∶256,但中和抗体在病后3个月时中和指数仅各为5.9和44.67,显著低于1966年的病例,这可能是由于使用大量皮质激素治疗的影响。两例病人的治疗结果提示抗出血热病毒免疫血清和皮质激素的早期使用可能是有益的。
Two patients occurred in Aksakmaral area of Bachu County in the first decade of May, 1968. They admitted 3 and 5 days after onset respectively. The case 1 with typical symptoms was injected the goat anti-Bachu hemorrhagic fever virus sera 60mL intramuscular immediately after admitted and treated with hydrocortisone. The patient followed no severe bleeding and the temperature fell to normal after 5 days. The case 2 was a mild type with the main symptom of epistaxis, the temperature decreased to normal after ...
出处
《地方病通报》
2004年第S1期-,共3页
Endemic Diseases Bulletin
