| 刘恒耀.流行性出血热200例舌象观察[J].中国中西医结合杂志,1984,(5):290-292,260 |
| 流行性出血热200例舌象观察 |
| A Study of Tongue Picture Observation on 200 Cases of Epidemic Hemorrhagic Fever |
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| DOI： |
| 中文关键词: 流行性出血热 低血压休克期 舌象观察 微循环障碍 氮质血症 危重型 绛舌 颅内出血 患者 健康人 |
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| 中文摘要: |
| 本文报告200例流行性出血热患者不同病期的舌象特点,并初步探讨了几种舌象形成的机理,认为紫舌可能与微循环障碍及舌下出血等有关;绛舌和光剥舌可能与高氮质血症有关,体会到舌诊对出血热的诊断、鉴别诊断和治疗,尤其是对判断病情的轻重,估计转归和预后有着重要的意义。 |
| 英文摘要: |
| This paper reports the results of tongue picture observation on 200 cases of epidemic hemorrhagic fever(EHF) with determination of blood urea nitrogen(BUN)etc.,212 normal subjects serving as control.The results were as follows:(1)During feverish period red tongue was found in 55.6% of the cases;during hypotensive period purplish tongue was seen in 44.73% of the cases;during oliguric period red tongue and crimson tongue were observed in 59.55% and 14.61% of the cases respectively;and during polyuric period pink tongue was noted in 73.3% of the cases.(2)The mortality of EHF patients with crimson tongue was 22.2%,and that of those with purplish tongue was 14.3%,but none of patients with other color of the tongue had died.(3)In the EHF patients with crimson tongue and uncoated smooth tongue,the mean levels of BUN were much higher than those observed in cases with pink tongue and thin and whitish fur(P<0.01).Accordingly,it is assumed that microcirculatory disturbances might be an important factor in the formation of the purplish tongue,and hypernitremia an important factor in the formation of the crimson tongue and uncoated smooth tongue.The value of tongue picture observation in differential diagnosis, in tayloring treatment and predicting prognosis of patients with EHF was also discussed. |
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