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目的探讨流行性乙型脑炎的临床特点和治疗效果。方法选择我院2006年1月～2008年1月流行性乙型脑炎69例患者,分析其临床表现、实验室检测结果。对于流行性乙型脑炎的治疗,给予降温、控制患者抽搐、降低颅内压、抗病毒以及预防呼吸衰竭等治疗。结果本组病例经过综合治疗后,患者在7d内体温均降至正常范围。治疗后治愈54例,好转12例,2例患者死亡。随访时间6个月～2年,平均1.5年,有9例患者出现后遗症,其中单侧肢体或者单肢体瘫痪患者7例,2例合并有失语。结论流行性乙型脑炎起病急、病情发展快,病情往往比较重,要迅速作出诊断;在治疗中给予降温、抗惊厥、降低颅内压以及减轻免疫损伤是治疗流行性乙型脑炎的关键。
Objective To investigate the clinical features and therapeutic effect of Japanese encephalitis. Methods 69 patients with JE in our hospital from January 2006 to January 2008 were selected for analysis of their clinical manifestations and laboratory test results. For the treatment of Japanese encephalitis, given cooling, control of patients with seizures, reduce intracranial pressure, anti-virus and prevention of respiratory failure and other treatment. Results In this group of patients after comprehensive treatment, patients within 7d body temperature fell to the normal range. After treatment 54 cases were cured, improved in 12 cases, 2 patients died. Follow-up time ranged from 6 months to 2 years, with an average of 1.5 years. Sequelae occurred in 9 patients, including 7 cases of unilateral limbs or single limb paralysis and 2 cases of aphasia with aphasia. Conclusions The incidence of Japanese encephalitis is acute, its condition is developing rapidly, the condition is often severe, and the diagnosis should be promptly made. In the treatment, cooling, anticonvulsant, intracranial pressure reduction and immunosuppression are the treatment of Japanese encephalitis key.