本文报道20例各种脑炎,均以精神障碍为首发症状而误诊。现分析如下。 1 临床资料 1.1 一般资料:男性12例,女性8例,年龄11～62岁,平均30.2岁,青壮年居多(78.1％)。发病到入院时间2～41d,平均13d。入院后诊断为散发性脑炎14例,结核性脑膜炎4例,化脓性脑膜炎1例,隐球菌性脑膜炎1例。 This article reports 20 cases of various encephalitis, are mental disorders as the first symptom and misdiagnosis. Analysis is as follows. 1 Clinical data 1.1 General Information: 12 males and 8 females, aged 11 to 62 years, an average of 30.2 years old, mostly young (78.1%). The onset of admission to 2 ~ 41d, an average of 13d. After admission, 14 cases were diagnosed as sporadic encephalitis, 4 cases of tuberculous meningitis, 1 case of purulent meningitis and 1 case of cryptococcal meningitis.