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本文报告自1978～1986小儿结脑130例,其中早期5例,中期69例,中晚期18例,晚期38例。3岁以下者88例(67.69%)。65.38%患儿于起病4周内开始治疗,本组采用一线三联抗结核突击疗法(PAS和1/2量INH静滴给药及链霉素肌注);佐以激素;主张早用甘露醇,且不宜停药过早;部分病例同时应用扩血管药及细胞活化剂;Ⅳ型晚期病儿还采用了鞘内注射。治愈率早期100%,中期33.33%,晚期13.16%。本文讨论了结脑与病毒脑、脑肿瘤的鉴别;认为突击疗法对中期甚至晚期病儿仍有一定疗效。
This article reports from 1978 to 1986 130 cases of children with knot brain, including early 5 cases, 69 cases of mid-term, 18 cases of advanced, advanced 38 cases. 88 patients (67.69%) under 3 years old. 65.38% of patients started treatment within 4 weeks of onset, the group used first-line triple anti-TB assault therapy (PAS and 1/2 INH intravenous infusion and streptomycin intramuscular injection); accompanied by hormones; Alcohol, and should not stop early; some cases of vasodilator drugs and cell activators at the same time; type IV late sick children also used intrathecal injection. The cure rate was 100% early, mid-term 33.33%, late 13.16%. This article discusses the brain knot brain and brain brain tumor identification; that assault therapy on the mid-term or even late children still have some effect.