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流行性乙型脑炎的治疗,目前仍有一定困难,病死率和后遗症还较严重的威胁着病人。但是若能掌握其临床特点,密切观察病情变化,及时抓住主要矛盾,采取相应的措施,在挽救病人生命上会起到一定的作用。现将我院近年来25例乙型脑炎的治疗体会,介绍如下:(一)呼吸中枢衰竭:本组病例发生呼吸中枢衰竭者12例。其发生时间多为病程第4～9天。对呼吸中枢衰竭的处理,我们的体会可采取以下措施:1.呼吸中枢兴奋药:山梗菜硷(Lobelinum)或野靛硷(Cytisinum)交替静脉点滴或注入。其对呼吸衰竭的早期效果较好。2.脱水疗法:本组对4例(重型3例,极重型1例)脑炎伴有呼吸中枢衰竭者采用了25%甘露醇(Mannitolum),每公斤体重1克,以及50%葡萄糖(Glucosum)交替静脉注入或点滴,借以减轻脑水
The treatment of Japanese encephalitis, there are still some difficulties, mortality and sequelae are more serious threat to the patient. However, if we can grasp the clinical features, closely observe the changes of the disease, grasp the main contradictions in time and take corresponding measures, it will play a certain role in saving the patient’s life. Now in our hospital in recent years, 25 cases of Japanese encephalitis treatment experience, described as follows: (A) respiratory failure: In this group of patients occurred in 12 cases of respiratory failure. The occurrence of time for the course of the first 4 to 9 days. In the treatment of respiratory failure, our experience can take the following measures: 1. Central respiratory stimulant: Lobelinum or Cytisinum alternately by intravenous infusion or injection. Its early effect on respiratory failure is better. 2. Dehydration therapy: 25% mannitolum, 1 gram per kilogram of body weight, and 50% glucose (Glucosum) were used in this study in 4 patients (3 severe and 1 very severe) with respiratory distress. ) Alternate intravenous infusion or drip, in order to reduce brain water