摘要
目的 研究肾综合征出血热患者腹痛的特点和规律。方法 观察患者腹痛的发生率、腹痛的部位和性质，腹痛与病情、并发症的关系。结果 轻、中、重、危重型患者腹痛的发生率依次为２１ ．０ ％ 、３４ ．８ ％ 、４０ ．０ ％ 、４３．３ ％ ，轻型明显少于其它各型（ Ｐ＜ ０ ．０５） ；局限性腹痛的构成比随病情的加重而递减，轻型明显多于重型（ Ｐ＜０ ．０１）和危重型（ Ｐ＜０ ．０２），中型明显多于重型和危重型（ Ｐ 均＜ ０ ．０２５） ；全腹痛常表现为剧痛或绞痛，随病情加重而递增，其中无轻型病例，中型显著少于重型（ Ｐ＜ ０ ．０１） 和危重型（ Ｐ＜ ０ ．０２５） ；腹痛与非腹痛患者相比，消化道出血的发生率更高（ Ｐ＜ ０．０１），肝功能异常更明显，主要表现为丙氨酸氨基转氨酶（ＡＬＴ） 升高（ Ｐ＜ ０ ．０２５） 和黄疸例数增多（ Ｐ＜０ ．０５）。结论 腹痛是肾综合征出血热患者较常见的临床症状，与其病情密切相关。
ObjectiveTo study the characteristic and regularity of abdominalgia in the patients of hemorrhagic fever with renal syndrome. MethodsThe incidence,location,feature of abdominalgia for patients, and the correlation between abdominalgia and state of illness or complications were observed.ResultsThe incidence of abdominalgia in the patients of mild,moderate, severe and critical type were 21.0 %, 34.8 %, 40.0 % and 43.3 % respectively. The number of mild type was obvious less than the other types.The constituent ratio of localized abdominalgia for mild type was higher than those of the severe (P< 0.01 ) and the critical types (P< 0.02 ), and for the moderate type was higher than those of the severe and critical types (both P< 0.025 ).The ratio decreased in pace with exacerbation of the disease.The constituent ratio of general abdominalgia which usually was megalgia or colicky pain increased by degrees along with detericration of the disease. No patients in mild type complained about general abdominalgia.The number of general abdominalgia in moderate type was lower than those of the servere (P <0.01 )and critical types (P< 0.025 ). The frequency of hemorrhage of digestive tract (P< 0.01 ) and hepatic dysfunction (elevation of ALT level,P< 0.025 ) and jaundice (P< 0.05 ) was higher in the patients suffering from abdominalgia than those without abdominalgia. ConclusionAbdominalgia is a common clinical symptom for the patients with hemorrhagic fever with renal syndrome,the occurrence is closely related to the state of the disease.
出处
《河北医科大学学报》
CAS
2000年第1期14-16,共3页
Journal of Hebei Medical University
关键词
肾综合征出血热
腹痛
并发症
hemorrhagic fever,renal syndrome/diag
hemorrhagic fever,epidemic/class
abdominalgia/compl
