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随着病毒学和免疫学的迅速进展,有不少特异性检测技术推广应用,使中枢神经系的病毒性感染得以及时诊断;而且,一些既往认为原因不明的脑部疾患,也查到病毒感染的证据,促使临床认识水平进一步提高。尽管已有多种抗病毒药物问世,尤其是以特异性免疫性疗法为主的综合治疗,取得相当的效果,但同抗生素治疗细菌性感染的良好疗效相比,病毒性疾患的治疗,仍存在不少难题。因此,病毒性脑炎受到临床极大的关注。考虑我国多数医疗单位,尚未普遍开展检测病毒的特异性技术,在诊断和治疗上仍存在较多问题,现特介绍临床上遇到的诊治不当或失误的实例,供日常医疗工作参考、借鉴。
With the rapid progress of virology and immunology, there are many specific detection techniques to promote the application of timely detection of viral infection of the central nervous system; and some previously thought that the cause of unknown brain disease, but also found that the virus infection The evidence, to promote clinical awareness to further improve. Although a number of antiviral drugs have been available, particularly those based on specific immunotherapy, which have yielded considerable results, the treatment of viral conditions persists compared to the good efficacy of antibiotics in the treatment of bacterial infections A lot of problems. Therefore, viral encephalitis has received tremendous clinical attention. Considering the majority of medical units in our country, the specific technique of virus detection has not yet been widely carried out. There are still many problems in diagnosis and treatment. The examples of improper diagnosis or treatment encountered in clinic are introduced especially for reference of routine medical work.