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Research Progress on the Pathogenesis of Hemorrhagic Fever with Renal Syndrome

Infectious Diseases & Immunity 2022年第4期2卷 274-281页

作者： Hong Du Pingzhong Wang xuefan bai Jing Li Xiaoyan Wang Haifeng Hu Ying Zhang Hong Jiang Huanjun Shen Jiayi Zhan Jianqi Lian Department of Infectious Diseases Second Affiliated Hospital of Air Force Medical UniversityXi’an 710038China

Hemorrhagic fever with renal syndrome(HFRS)is an acute natural focus epidemic disease characterized by fever,shock,hemorrhage and kidney injury caused by hantavirus *** mainly infects human vascular endothelial cells,and induces extensive damage to small blood vessels and *** vascular permeability is the pathological basis for clinical manifestations of *** domestic and foreign scholars have carried out many studies on the hantavirus pathogenesis,such as the immune pathological response induced by hantavirus,host genetics and apoptosis,thrombocytopenia,coagulation and fibrinolysis dysfunction,and the vascular endothelial damage,the pathogenesis of HFRS has not been fully elucidated and there is no effective drug ***-depth discussion of the molecular mechanism of HFRS and finding effective therapeutic drugs are still the research hotspots on the field of hantavirus/*** review will elaborate the research progress on the pathogenesis of HFRS in recent years.

关键词： Hantaan virus Hantavirus Hemorrhagic fever with renal syndrome Pathogenesis

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Hantavirus infection:a global zoonotic challenge

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Virologica Sinica 2017年第1期32卷 32-43页

作者： Hong Jiang Xuyang Zheng Limei Wang Hong Du Pingzhong Wang xuefan bai Center for Infectious Diseases Tangdu Hospital Fourth Military Medical University Department of Microbiology School of Basic Medicine Fourth Military Medical University

Hantaviruses are comprised of tri-segmented negative sense single-stranded RNA, and are members of the Bunyaviridae family. Hantaviruses are distributed worldwide and are important zoonotic pathogens that can have severe adverse effects in humans. They are naturally maintained in specific reservoir hosts without inducing symptomatic infection. In humans, however,hantaviruses often cause two acute febrile diseases, hemorrhagic fever with renal syndrome(HFRS) and hantavirus cardiopulmonary syndrome(HCPS). In this paper, we review the epidemiology and epizootiology of hantavirus infections worldwide.

关键词： hantavirus Bunyaviridae 动物病有肾的症候群的出血性的发烧 hantavirus 心肺的症候群

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Expert Consensus on the Prevention and Treatment of Hemorrhagic Fever with Renal Syndrome

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Infectious Diseases & Immunity 2022年第4期2卷 224-232页

作者： Hong Jiang Changxing Huang xuefan bai Fuchun Zhang Bingliang Lin Shiwen Wang Zhansheng Jia Jingjun Wang Jing Liu Shuangsuo Dang Yingren Zhao Xiaoguang Dou Fuqiang Cui Wenhong Zhang Jianqi Lian Guiqiang Wang Zhiliang Gao Infectious Disease Branch of the Chinese Preventive Medicine Association Infectious Diseases Branch of the Chinese Medical Association

Hemorrhagic fever with renal syndrome(HFRS)is an acute zoonosis with a global *** is one of the countries with a high incidence of HFRS,which has long endangered the lives and health of the Chinese *** Infectious Disease Branch of the Chinese Preventive Medicine Association and the Infectious Diseases Branch of the Chinese Medical Association organized national multidisciplinary experts,based on domestic and international research results combined with experts’practical experiences,to reach this consensus after thorough *** consensus contains 17 recommendations aimed at prevention and identification of important clinical issues to further standardize the prevention,diagnosis,and treatment of HFRS.

关键词： Hemorrhagic fever with renal syndrome Expert consensus Prevention Treatment

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Clinical study of critical patients with hemorrhagic fever with renal syndrome complicated by acute respiratory distress syndrome

Clinical study of critical patients with hemorrhagic fever w...

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中华医学会第十三次全国感染病学术会议

作者： Hong Du Wei Jiang Haitao Yu Junning Wang xuefan bai Center for Infectious Diseases Tangdu HospitalFourth Military Medical University

Objective The aim of this study was to investigate the clinical characteristics and outcomes of critical patients with hemorrhagic fever with renal syndrome(HFRS)complicated by acute respiratory distress syndrome(ARDS).Materials and Methods To observe the demographic,epidemiological and clinical characteristics,and to explore the predictive effects for prognosis in laboratory findings,we conducted a detailed retrospective a-

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HMGB-1 as a new predictor of severity and prognosis in patients with hemorrhagic fever with renal syndrome

HMGB-1 as a new predictor of severity and prognosis in patie...

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中华医学会第十三次全国感染病学术会议

作者： Hong Du Haitao Yu Wei Jiang Junning Wang xuefan bai Center of Infectious Diseases Tangdu HospitalFourth Military Medical University

Objective The aim of this study was to examine the predictive role of high mobility group box protein-1(HMGB-1)on severity and prognosis of hemorrhagic fever with renal syndrome(HFRS).Methods One hundred and five patients treated at our center between October 2011 and December 2012 were randomly enrolled in this *** patients were divided into a mild-type group,a moderate-type group,a severe-type group and a

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Clinical characteristics and outcomes in critical patients with hemorrhagic fever with renal syndrome

Clinical characteristics and outcomes in critical patients w...

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中华医学会第十三次全国感染病学术会议

作者： Hong Du Haitao Yu Wei Jiang Junning Wang xuefan bai Center of Infectious Diseases Tangdu HospitalFourth Military Medical University

Objective Hemorrhagic fever with renal syndrome(HFRS)has become an important public health contern because of the high incidence and mortality rates,and limited treatment and *** now,clinical studies on characteristics and outcomes in critical patients with HFRS have been *** aim of this study was to observe the clinical characteristics and cumulative proportions surviving and explore the predictive

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Early indicators of severity and construction of a risk model for prognosis based upon laboratory parameters in patients with hemorrhagic fever with renal syndrome

Early indicators of severity and construction of a risk mode...

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中华医学会第十三次全国感染病学术会议

作者： Hong Du Haitao Yu Wei Jiang Junning Wang xuefan bai Center of Infectious Diseases Tangdu HospitalFourth Military Medical University

Objective The aim of this study was to explore the role of laboratory parameters routinely tested as early indicators of severity and as effective predictors of prognosis in patients with hemorrhagic fever with renal syndrome(HFRS).Methods 356 patients were enrolled in this study and were divided into mild,moderate,severe and critical types according to the clinical classification of *** levels of white blood counts(WBC),platelets(PLT),aspartate aminotransferase(AST),albumin(ALB),blood urea nitrogen(BUN),serum cre-

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A retrospective study of continuous renal replacement therapy and anticoagulation in patients with hemorrhagic fever with renal syndrome

A retrospective study of continuous renal replacement therap...

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中华医学会第十三次全国感染病学术会议

作者： Hong Du Jing Li Liping Han Rong Zheng Hongli Lei xuefan bai Center of Infectious Diseases Tangdu HospitalFourth Military Medical University

Objectives To observe the application of CRRT and heparin anticoagulation in patients with HFRS and explore a more suitable anticoagulant *** Eighty-five severe-type patients(severe group)and 71critical-type patients(critical group)were *** frequency of CRRT was compared between the two groups;the frequency of CRRT treated with and without heparin anticoagulation and the frequency of hemorrhage and channel blood clotting induced by the two anticoagulant strategies were *** Clinical data

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PTX3 plasma concentrations in patients with HFRS

PTX3 plasma concentrations in patients with HFRS

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中华医学会第十三次全国感染病学术会议

作者： Hong Du Haitao Yu Wei Jiang Ye Zhang Junning Wang xuefan bai Center of Infectious Diseases Tangdu HospitalFourth Military Medical University

Objective The aim of this prospective observational study was to evaluate the predictive value of blood plasma pentraxin 3(PTX3)levels in patients with hemorrhagic fever with renal syndrome(HFRS),Methods The prospective and observational study was carried out from October 2011 through December 2012 and ineluded 15 healthy participants and 69 patients who were serologically diagnosed with HFRS,presented at the Centre of Infectious Diseases,Tangdu *** to the clinical classification,the patients enrolled

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A retrospective study of clinical characteristics and outcomes in critical patients with HFRS Induced ALI/ARDS

A retrospective study of clinical characteristics and outcom...

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中华医学会呼吸病学年会——2013（第十四次全国呼吸病...

作者： Hong Du Jing Li Haitao Yu Ye Zhang Wei Jiang xuefan bai Centre of Infectious Diseases Tangdu HospitalFourth Military Medical University

Objective To investigate the clinical characteristics and outcomes in critical patients with hemorrhagic fever with renal syndrome(HFRS) induced ALI/ARDS. Methods This retrospective,observational study was undertaken in the Centre of Infectious Diseases, TangduHospital,between January 2008 and August *** to the clinical classification,the critical patients having ALI/ARDS during the course were *** described the basic clinical characteristics including mortality,survival curve,ARDS rate and

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