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作者分析50例急性呼吸道病毒感染伴有脑症状的临床病理资料,认为呼吸道病毒感染产生脑症状的有两种脑部变化;其一为呼吸功能障碍等原因产生的中毒缺氧性脑病;另一少见,属免疫反应的变态反应性脑炎。从形态学方面看,脑炎有两种类型;(1)以血管周围淋巴细胞浸润为主要变化的血管炎症型;(2)出血型,脑病出现于急性期,脑炎发生于呼吸道病毒感染后1～2周。 50例为1970—1975年间死亡的病人,48例为14岁以下儿童,2例为成年人,细菌学检查分离到流感病毒A_2、副流感病毒、呼吸道合胞病毒、脉病毒、尚分离到致病性葡萄球菌、绿脓杆菌。多数病例是
The authors analyzed 50 cases of acute respiratory virus infection associated with clinical and pathological data of the brain, that respiratory virus infection have two brain changes caused by brain symptoms; one for respiratory dysfunction caused by poisoning hypoxic encephalopathy; the other Rare, is an immune reaction of allergic encephalitis. Morphology, there are two types of encephalitis; (1) perivascular lymphocyte infiltration as the main changes in vascular inflammation; (2) bleeding, encephalopathy occurred in the acute phase, encephalitis occurred after respiratory virus infection 1 ~ 2 weeks. Fifty patients died between 1970 and 1975, 48 were children under 14 years of age, and two were adults. Influenza A_2, parainfluenza virus, respiratory syncytial virus, and pulse virus were isolated from the bacteriological examination and were isolated Staphylococcus aureus, Pseudomonas aeruginosa. Most cases are