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作者在4年中收治78例小儿乙脑应用大剂量地塞米松治疗,观察组57例,对照组21例,在综合治疗基础上,观察组加用地塞米松1～2mg/kg/日静脉滴注,结果观察组的主要症状、体征消失时间均较对照组为优(F=5.34,P<0.01),患儿出院时治疗结果亦较对照组为好(X~2=6.78,P<0.01),经3个月至1年随访,观察组34例1例未全完恢复,对照组12例,2例未复常。作者认为在综合治疗基础上加用大剂量地塞米松静脉滴注是可取的。
The authors received 78 cases of pediatric encephalitis in children treated with high-dose dexamethasone in 4 years, 57 cases in the observation group and 21 cases in the control group. On the basis of comprehensive treatment, the observation group was treated with dexamethasone 1 ~ 2mg / kg / day Note, the results of the observation group, the main symptoms, signs of disappearance of the time were better than the control group (F = 5.34, P <0.01), the treatment of children with discharge was also better than the control group (X ~ 2 = 6.78, P <0.01 ). After 3 months to 1 year follow-up, 34 cases in observation group did not complete recovery in one case, 12 cases in control group and 2 cases did not recover. The authors believe that the combination of large doses of dexamethasone intravenous infusion is desirable based on comprehensive treatment.