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| 후복막강 출혈 및 혈흉을 동반한 신증후성 출혈열 1예 |
| 윤도식 , 최승옥 , 이형준 , 김진수 , 김효열 , 한병근 , 이광훈 |
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| Abstract |
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Hemorrhagic fever with renal syndrome frequently found in Korea is a acute infectious disease caused by Hantaan virus. Its clinical manifestations include high fever, cardiovascular collapse, hemorrhagic ten- dency and acute renal failure. Many patients with hemorrhagic fever with renal syndrome show hemo- rrhagic tendency such as subconjunctival hemor- rhage and mucocutaneous petechia. In vital organs such as lung, kidney, spleen, brain, and pituitary, hemorrhage occasionally occurs spontaneously or by minor trauma. As a results, hematemesis, hemopty- sis, melena and gross hematuria can be developed in some patients. Anemia and circulatory shock may result from large hematoma formed in third spaces like retroperitoneal and pleural space. But retroperito- neal hematoma and hemothorax was rarely reported. We report a case of hemorrhagic fever with renal syndrome complicated by retroperitoneal hematoma and hemothorax with review of literatures. |
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