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近几年来,流行性乙型脑炎(简称乙脑)的病死率巳由解放初期的30％左右下降到近10％。这是多年来在降温、止痉、气道管理、减轻脑水肿等中西医综合治疗的结果,但影响乙脑预后的因素较多,如何突破10％这一关,使病死率再大幅度下降,是项重要研究课题。现就本院1977年收治的92例乙脑患者资料分析,探讨缺氧对其预后的影响。一、一般资料:此次流行自7月14日起,7月下旬达高峰,到8月8日流行基本结束,最后1例在9月5日。年龄除1例2个月外,其余分布在12～76岁之间。男58例,女34例。补体结合试验阳性者共36例,可疑阳性者3例。从死亡者脑组织中分离出一株乙脑病毒。此次流行重型(按上海市1971年分型标准)特多,占总数之半(46/92),其中有5例脑干型(3例为脑炎脑干混合型)。21例须作气管切开。普通型及轻型病例各30及16例。
In recent years, the mortality of Japanese encephalitis (JE) has dropped from about 30% in the early period of liberation to nearly 10%. This is the result of comprehensive treatment of traditional Chinese medicine and western medicine, such as cooling, antispasmodic, airway management, and brain edema reduction over the years. However, there are many factors that affect the prognosis of Japanese encephalitis. How to break the 10% threshold has greatly reduced the mortality rate , Is an important research topic. Now in our hospital in 1977 admitted to 92 cases of Japanese encephalitis patients data to explore the impact of hypoxia on its prognosis. First, the general information: The popular since July 14, the peak in late July, to August 8 epidemic basically ended, the last one in the September 5. In addition to 1 case of 2 months, the rest of the distribution in 12 to 76 years old. 58 males and 34 females. Complement binding test was positive in a total of 36 cases, 3 were suspected positive. A Japanese encephalitis virus was isolated from the brain tissue of the deceased. The prevalence of heavy (according to Shanghai 1971 classification criteria) Tornado, accounting for half of the total (46/92), of which 5 cases of brainstem type (3 cases of encephalitis brain stem mixed type). 21 cases were tracheotomy. 30 and 16 cases of common and mild cases.