Hemorrhagic Shock and Encephalopathy Syndrome: Report of Two Cases

出血性休克併腦病變症候羣：二病例報告

邱南昌(Nan-Chang Chiu) ； 沈淵瑤(Ein-Yiao Shen) ； 李宏昌(Hung-Chang Lee)

《Acta Paediatrica Sinica》 30卷2期 (1989/04) Pp. 118-122

摘要

出血性休克併腦症候羣(hemorrhagic shock and encephalopathy syndrome)是1983年提出的一種新症候羣。其臨床表現爲發燒、腦病變、休克、播散性血管內凝集、下痢、血紅素及血小板降低、代謝性酸中毒、肝腎功能異常、氨濃度正常、和陰性的血液、腦脊髓液培養。病程一般進行快速，常於數小時或小時或數日死亡、或留下嚴重的神經系統後遺症。本院發現兩病例，提出報告並論述相關問題。

並列摘要

Two young children with a history of diarrhea, for one and two days respectively, were admitted to our hospital due to high fever and conscious disturbance. Disseminated intravascular coagulation, abnormal hepatic and renal functions, and metabolic acidosis were noted as well. Both patients developed shock soon after arrival and expired within one day after admission. Their serum ammonia levels were normal, and their blood and cerebrospinal fluid cultures also brought negative results. Hemorrhagic shock and encephalopathy syndrome was diagnosed by their clinical manifestations and laboratory data. We also discussed ther related problems. Key

並列關鍵字

hemorrhagic shock ； encephalopathy ； disseminated intravascular coagulation ； hyperthermia