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1994年7～9月,我们收治乙脑患儿60例,按入院顺序分为治疗组和对照组各30例。患儿年龄6个月至14岁,平均病程3.3天。临床分型为轻型3例,普通型19例,重型20例,极重型8例。两组无明显差异。 治疗方法:①对照组采用综合对症治疗,包括降温、镇静、降颅压、控制感染及保持吸吸道通畅等。②治疗组:在综合对症治疗的基础上,将病毒唑10～15mg/(kg·d)加入葡萄糖液或氯化钠液中静脉缓滴,5～7天为一疗程。 疗效:①对照组:平均退热时间7.天,意识障碍改善时间4～5天,抽搐痉挛停止时间1～2天;3例遗有明显后遗症,其中失语、瘫痪各2例;死
From July to September 1994, we treated 60 children with JE, and were divided into treatment group and control group according to the sequence of admission. Children aged 6 months to 14 years, the average duration of 3.3 days. The clinical classification was light in 3 cases, general type in 19 cases, heavy type in 20 cases and extremely severe type in 8 cases. No significant difference between the two groups. Treatment: ① control group using a comprehensive symptomatic treatment, including cooling, sedation, reducing intracranial pressure, infection control and maintain the suction tract patency. The treatment group: On the basis of comprehensive symptomatic treatment, ribavirin 10 ~ 15mg / (kg · d) added to the glucose solution or sodium chloride intravenous drip slowly, 5 to 7 days for a course of treatment. Efficacy: ① control group: the average antipyretic time 7. Days, improvement of consciousness 4 to 5 days, twitch spasm stop time 1-2 days; 3 cases left with obvious complications, including aphasia, paralysis in 2 cases; dead