How is hemorrhagic fever with renal syndrome treated?
Oct 17, 2023
Source: Cainiu Health
Dr. Lu Haiying
Introduction
In general, hemorrhagic fever with renal syndrome (HFRS) can be treated through adequate rest, dietary adjustment, fluid therapy, medication, blood transfusion, and other approaches. HFRS is clinically divided into five phases: febrile phase, hypotensive shock phase, oliguric phase, polyuric phase, and convalescent phase, lasting approximately 5 to 14 days. Therefore, bed rest for 7 to 14 days is required throughout the course of the illness.
In general, hemorrhagic fever with renal syndrome (HFRS) can be treated through adequate rest, dietary adjustment, fluid therapy, medication, blood transfusion, and other approaches. Specific analyses are as follows:
1. Adequate Rest
HFRS is clinically divided into five phases: febrile phase, hypotensive shock phase, oliguric phase, polyuric phase, and convalescent phase, lasting approximately 5–14 days. Therefore, patients should remain bedridden for 7–14 days throughout the course of illness and avoid physical exertion to prevent worsening of the condition.
2. Dietary Adjustment
Patients with HFRS should maintain a light diet, primarily consisting of liquid or soft foods, and consume more vegetables and fruits rich in vitamins, such as celery and apples. Spicy and irritating foods such as chili peppers and Sichuan peppercorns should be avoided, as they may exacerbate discomfort symptoms.
3. Fluid Therapy
Fluid therapy is also an effective treatment for HFRS. Based on disease progression, physicians will determine the type and amount of fluids administered—such as glucose-saline solutions—including the appropriate ratio of sugar to salt. The fluid composition is adjusted according to the patient's clinical characteristics, allowing timely modification of therapeutic measures. This method can effectively control the progression of the disease.
4. Medication
HFRS can be treated under medical supervision with medications such as amoxicillin capsules, acyclovir capsules, and ibuprofen sustained-release capsules to achieve therapeutic effects.
5. Blood Transfusion
HFRS often leads to bleeding. If significant blood loss occurs, prompt blood transfusion is necessary. Fresh blood is typically administered to ensure sufficient normal platelets and clotting factors in the body. If platelet count is markedly reduced, direct platelet transfusion may be performed.
If patients experience any discomfort symptoms, it is recommended to seek timely medical attention at a hospital to avoid delays in diagnosis and treatment.
