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编辑同志: 读《中华内科杂志》1993年第6期胡振序同志的《论散发性脑炎—建议不再用散发性脑炎作诊断》一文,深受启发,受益非浅。但有几个问题提出商榷。 1 散发性脑炎(简称散脑)的发病率究竟如何?它在我国60—70年代与80年代后期究竟有何不同?文中所说“到80年代后期关于散脑和类似‘散脑’的报道却明显减少。特别是没有像早期那样大宗病例报道”。是真的发病率下降?还是因为作者们认为无特殊的诊治进展,仅仅写出诸如《散发性脑炎××例分析》的统计文章已无必要,况且这类稿件杂志也不一定发表。近年的文献主要报道有特殊表现的病
Editor comrade: read “Chinese Journal of Internal Medicine” 1993 the sixth period Comrade Hu Zhenxu “on sporadic encephalitis - no longer recommended for the diagnosis of sporadic encephalitis” article, deeply inspired, benefited greatly. However, there are several issues to be discussed. 1 What is the incidence of sporadic encephalitis (SSP)? What is the difference between the 60s-70s and the late 80s in our country? However, there has been a marked reduction in the number of reported cases, especially in the large number of cases reported as early days. “ Is the true incidence rate declining? Or is it because the authors think there is no special diagnosis and treatment progress, just write statistics such as ”sporadic encephalitis × × case analysis" is unnecessary, Moreover, such manuscripts magazines are not necessarily published. In recent years, the main reports of the literature have a special performance of the disease