钩端螺旋体脑血管闭塞症,国内近年来有日益增多趋势,我们自1973～1980年收治住院病儿59例,现分析讨论如下: 临床资料:1性别及年龄:59例中,男26例,女33例。3～6岁16例,7～12岁42例,14岁1例,最小年龄3岁1例;2.发病月份以10月份为最多,占25例;3.疫源:本组病例均来自农村,有下水田或与疫水接触史,部分病例同村或公社有其他儿童发生本病;4.临床表现:(1)前驱症状:59例中,头痛29例,发热21例,肢痛7例,肢麻10例,呕吐16例,抽搐6例。(2)起病类型:①卒中起病型:无前驱症状,突然出现偏瘫、失语,并达最重程度,不晚于24～48小时者,占19例。②渐次进行型:有头痛等前驱症 Leptospirosis cerebrovascular occlusive disease, the domestic increasing trend in recent years, we have treated 59 cases of hospitalized children from 1973 to 1980, are analyzed and discussed as follows: Clinical data: 1 sex and age: 59 cases, 26 males, Female 33 cases. 3 to 6 years old in 16 cases, 42 cases in 7 to 12 years old, 1 case in 14 years old, the youngest age of 3 years old in 1 case; 2. The onset of the month in October as the most, accounting for 25 cases; 3. Foci: The patients were from In rural areas, there is a history of exposure to paddy fields or contact with infected water. In some cases, this disease occurs in other children in the same village or commune. 4. Clinical manifestations: (1) Prodromal symptoms: In 59 cases, 29 cases had headache, 21 cases of fever and 7 Cases, 10 cases of limb anesthesia, vomiting in 16 cases, 6 cases of convulsions. (2) Type of onset: ① Stroke onset type: no prodromal symptoms, sudden hemiplegia, aphasia, and to the most extent, no later than 24 to 48 hours, accounting for 19 cases. ② progressive type: headaches and other prodromes