论文部分内容阅读
散发性脑炎发病无季节性,多见于儿童及青壮年,以发热、感冒等为诱因,多以急性或亚急性起病。精神症状及意识障碍常见,可伴肢体瘫痪及颅神经受累;脑脊液检查大多正常,少数压力、蛋白及白细胞轻度增高;异常脑电图以弥散漫活动为主。皮质类固醇治疗大多奏效。住院死亡7例,多死于脑疝或继发感染。急性期病情严重者一旦恢复则很少致残,后遗症亦微。两例尸检中,一为脱髓鞘性脑干脑炎,一为同心圆性硬化。
Sporadic encephalitis no seasonal onset, more common in children and young adults to fever, cold and other incentives, mostly acute or subacute onset. Psychiatric symptoms and disturbance of consciousness common, can be associated with limb paralysis and cranial nerve involvement; most of the normal cerebrospinal fluid examination, a small number of stress, protein and white blood cells increased slightly; abnormal EEG diffuse diffuse activity. Most corticosteroid treatment works. Seven hospitalized patients died of herniation or secondary infection. Acute severe illness, once recovered, rarely disabling, sequelae are micro. Two autopsies, one for demyelinating brainstem encephalitis, one for concentric cirrhosis.