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我院1965年5月～1986年10月收治儿童散发性脑炎55例。男32例,女23例;年龄2月～12岁。诊断标准:(1)急性或亚急性起病,(2)病前有上感、腹泻及发热史,(3)常以意识障碍及癫痫为首发症,具有弥漫性或局限性脑损害,脑电图呈弥漫性慢波或有无局灶偏瘫,(4)脑脊液细胞数及蛋白正常或轻度增加,(5)排除其他原因所致脑炎。55例中临床治愈25例,好转23例,无效4例,死亡3例。死亡3例均作尸检,现报告如下。例1.女,7岁。解剖号78-A31。病理诊断:①脑炎。病变累及大脑皮质、基底节各处,包括小血管周围套袖状淋巴细胞浸润,软化灶及胶质细胞增生等改变。②左大脑中动脉分支处及右大脑中动脉血栓形
Our hospital from May 1965 to October 1986 admitted children with encephalitis in 55 cases. There were 32 males and 23 females, aged from 2 months to 12 years old. Diagnostic criteria: (1) acute or subacute onset, (2) premorbid feeling, diarrhea and fever history, (3) often disturbance of consciousness and epilepsy as the first disease, with diffuse or localized brain damage, brain Electromyography was diffuse slow wave or without focal hemiplegia, (4) cerebrospinal fluid cells and normal or mild increase in protein, (5) exclude other causes of encephalitis. Among 55 cases, 25 cases were clinically cured, 23 cases improved, 4 cases were ineffective and 3 cases died. 3 died of autopsy, are as follows. Example 1. Female, 7 years old. Anatomy number 78-A31. Pathological diagnosis: ① encephalitis. Lesions affect the cerebral cortex, basal ganglia, including small blood vessels around the sleeve sleeve lymphocyte infiltration, softening lesions and glial cell proliferation and other changes. ② left middle cerebral artery branches and right middle cerebral artery thrombosis