What tests are needed for hemorrhagic fever?
In general, hemorrhagic fever refers to epidemic hemorrhagic fever. For epidemic hemorrhagic fever, common diagnostic tests include routine blood tests, urinalysis, blood biochemistry, coagulation function tests, and virological examinations. Specific analyses are as follows:
1. Routine Blood Test
In the early stages of illness, patients with epidemic hemorrhagic fever may show normal or elevated white blood cell counts in routine blood tests, primarily due to increased neutrophils. If the routine blood test shows no changes in white blood cells during the early phase of disease, it suggests an early stage of illness, although this alone cannot confirm the diagnosis.
2. Urinalysis
During the febrile phase, patients with epidemic hemorrhagic fever may develop hematuria. Urinalysis may reveal increased red and white blood cells, which can serve as supportive evidence for diagnosing epidemic hemorrhagic fever.
3. Blood Biochemistry
During the febrile phase, glomerular filtration rate significantly decreases in patients with epidemic hemorrhagic fever. Proteinuria may appear early in the course of the disease, and a positive proteinuria result indicates worsening kidney damage.
4. Coagulation Function
When patients with epidemic hemorrhagic fever exhibit bleeding tendencies, coagulation function should be evaluated for abnormalities. Detecting coagulation disorders early allows timely intervention and correction.
5. Virological Testing
Virological testing can also be performed on patients with epidemic hemorrhagic fever to isolate highly pathogenic viruses or identify suspected cases, thereby determining the virus type. However, during outbreaks, viral culture may lose its diagnostic value.
Besides these, liver function tests may also be conducted for epidemic hemorrhagic fever. If patients experience discomfort, they should promptly visit a qualified medical institution for evaluation and treatment to avoid delays in care.