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本组男20例,女14例,年龄2~11岁。16例于腮腺肿大同时出现神经症状,8例腮腺炎基本痊愈时出现,6例在腮腺炎痊愈5~9天后并发脑炎,4例首先出现神经症状,3~5天后腮腺肿大。临床表现为发热、头痛、呕吐27例,意识障碍4例,抽搐3例,视力、听力损害2例,睾丸炎2例。检查脑脊液21例,5例白细胞增高,生化正常。脑电图检查29例,26例异常。检查周围血象30例,11例白细胞总数升高。 治疗及结果:给能量支持、大剂量维生素C、病毒唑、脑活素及其它对症处理。治愈29例,死亡1例,好转4例。
The group of 20 males and 14 females, aged 2 to 11 years old. Neurological symptoms were found in 16 cases of parotid gland enlargement, 8 cases of mumps basically recovered, 6 cases were complicated with encephalitis 5 to 9 days after mumps healed, 4 cases had neurological symptoms first and enlarged parotid glands 3 to 5 days later. Clinical manifestations of fever, headache, vomiting in 27 cases, 4 cases of disturbance of consciousness, convulsions in 3 cases, visual acuity, hearing loss in 2 cases, 2 cases of orchitis. 21 cases of cerebrospinal fluid examination, 5 cases of leukocytosis, normal biochemistry. EEG examination in 29 cases, 26 cases of abnormalities. Check the peripheral blood in 30 cases, 11 cases of total white blood cells increased. Treatment and results: to energy support, high-dose vitamin C, ribavirin, cerebrolysin and other symptomatic treatment. 29 cases were cured, 1 died, 4 cases improved.