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本文通过14例重症乙脑死亡病人尸检证明乙脑病人死亡主要原因为脑疝。而脑疝在乙脑病变较轻或早期时即可发生。讨论了乙脑发生脑水肿、脑疝的原因即原发性的病毒所致的脑病变与继发性脑缺氧症。提出了在现有综合治疗基础上采取有效的通气措施如气管切开,人工呼吸器的使用等以减少急性脑缺氧症的发生,以降低死亡率。讨论了肾上腺皮质激素在乙脑治疗中的价值并强调了控制肺部感染的重要性。
In this paper, 14 patients died of severe brain death autopsy JE proved dead the main cause of brain herniation. The brain hernia in JE lesions lighter or early can occur. Edema was discussed in brain edema, brain herniation caused by primary viral encephalopathy and secondary cerebral hypoxia. Based on the existing comprehensive treatment, it is proposed to adopt effective ventilation measures such as tracheotomy and respirator to reduce the incidence of acute cerebral hypoxia and reduce the mortality rate. Discusses the value of adrenal cortical hormone in the treatment of JE and emphasizes the importance of controlling lung infections.