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流行性乙型脑炎(简称乙脑)的主要死亡原因为呼吸衰竭。1984~1985年,我院采用东莨菪碱抢救重症乙脑伴呼吸衰竭14例,收到良好效果。临床资料:本组14例中,男8例,女6例。年龄:7个月~6岁,5岁以下13例。发病时间:每年6月6日~8月6日,有12例有7月下旬至8月上旬发病。发病至入院时间:3天4例,4天6例,5天2例,6、8天各1例。临床表现:14例均有发热、嗜睡、呕吐抽搐、昏迷,布、克氏征(+),脑脊液改变。
The main cause of death from Japanese encephalitis (JE) is respiratory failure. From 1984 to 1985, 14 cases of severe encephalitis and respiratory failure were treated with scopolamine in our hospital and received good results. Clinical data: The group of 14 patients, 8 males and 6 females. Age: 7 months to 6 years old, 13 cases under 5 years old. Onset time: June 6 to August 6 each year, 12 patients with onset in late July to early August. From onset to admission: 4 cases in 3 days, 6 cases in 4 days, 2 cases in 5 days and 1 case in 6 and 8 days. Clinical manifestations: 14 cases were fever, drowsiness, vomiting, convulsions, coma, cloth, Kirschner sign (+), cerebrospinal fluid changes.