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目的总结昆明市成人散发性流行性乙型脑炎的临床特点及早期诊断。方法回顾性分析11例昆明市成人散发性流行性乙型脑炎的临床资料。结果 11例患者乙脑血清IgM抗体阳性,均有不同程度的发热,均无乙脑疫苗接种史,流行季节早期(6~7月份),意识障碍重,死亡率高;流行季节末期(9月份)病情相对较轻。死亡3例,余8例经确诊后转入传染病医院诊治。结论重视儿童,特别是农村人群的乙脑疫苗的预防接种;在发病季节意识障碍重,高热的患者及时检查乙脑血清IgM抗体。
Objective To summarize the clinical features and early diagnosis of sporadic Japanese encephalitis in Kunming. Methods The clinical data of 11 cases of sporadic Japanese encephalitis in Kunming were retrospectively analyzed. Results All of the 11 patients were positive for IgM antibody of JE and all had different degrees of fever. None of the 11 patients were given JE Vaccine. The epidemic season was early (June to July), with severe disturbance of consciousness and high mortality rate. The end of the epidemic season (September The condition is relatively mild. 3 died, more than 8 cases were diagnosed and transferred to the infectious disease hospital for treatment. Conclusions Emphasis is placed on the vaccination of Japanese encephalitis B vaccines in children, especially in rural areas. IgE antibodies against Japanese encephalitis are examined in patients with severe and high fever in the season of onset.