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本文是我院儿科在1969～1972年收治重型及暴发型乙型脑炎81例的临床小结和体会。按照广州市1971年乙型脑炎协作组订出的标准分型如下:重型77例(1969年30例、1970年18例、1971年19例、1972年10例),暴发型4例(1969、1971年各2例)。本组病例均有发烧、抽搐、意识障碍及锥体束征阳性的特点,其发生率分别为100%、75.3%、85.1%及75.3%。全组病死率很高。四年来共死亡26例(重型24例、暴发型2例),治愈55例。现将诊疗过程中所遇到的一些问题分别讨论如下。
This article is a pediatric hospital in our hospital from 1969 to 1972 admitted to the treatment of severe and fulminant Japanese encephalitis in 81 cases of clinical summary and experience. According to the standards set by Guangzhou JEB in 1971, 77 cases were classified as severe (30 in 1969, 18 in 1970, 1971 in 1971 and 10 in 1972), and 4 in the outbreak (1969 , 2 cases in 1971). This group of patients have fever, convulsions, disturbance of consciousness and pyramidal tract signs were positive, the incidence rates were 100%, 75.3%, 85.1% and 75.3%. The whole group of high mortality. In four years a total of 26 deaths (24 cases of heavy, 2 cases of fulminant), 55 cases were cured. Now the treatment of some of the problems encountered in the process are discussed below.