对于急性肺炎时神经系统损伤的认识,意见不一。本文观察了一组青年急性肺炎患者神经系统受损的临床表现。共观察病人300例,均为18～25岁的男性青年,既往无神经系统外伤史。其中75%患者为首次罹患肺炎。全部病人均经胸部X线检查和血液化验所证实,80%于发病后1～2天入院。其中5%的病人入院时有虚性脑膜炎表现,如全身感觉过敏,颈项强直等。但无一例具有脑膜炎、脑炎或精神病的证据。发病后7～10天的基本主诉有:弥漫性头痛者40%,兴奋性增高、易怒者52%,全身无力者60%,睡眠障碍(如易醒、入睡困难、梦多且常为恶梦等)者 Opinions differ on the understanding of nervous system damage in acute pneumonia. This article looked at the clinical manifestations of a group of young patients with acute neurologic impairment of the pneumonia. A total of 300 patients were observed, both male adults aged 18 to 25, no previous history of nervous system trauma. 75% of them are pneumonia for the first time. All patients were confirmed by chest X-ray examination and blood tests, 80% were admitted 1 to 2 days after onset. 5% of patients with virtual meningitis when admitted to hospital performance, such as systemic sensory, neck stiffness and so on. But no case of meningitis, encephalitis or mental illness evidence. 7 to 10 days after the onset of the basic complaints are: 40% of diffuse headache, increased excitability, irritability were 52%, 60% of the general weakness, sleep disorders (such as easy to wake up, difficulty falling asleep, dreams and more often evil Dream, etc.) who