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感染性多发性神经炎,即使是重症,一经抢救过来,于数月~2年内可望完全恢复。对脑脊液细胞数增加、视乳头水肿、深感觉丧失或数周内病情仍进展者,则予后较差或不全恢复。另有少数病例虽经治愈还可能复发,脑脊液仍为蛋白细胞解离、起病亚急或缓慢,称为复发型(再发型)感染性多发性神经炎。近年来我们遇到10例共25次发作,复发型往往较第一次发作为重,甚至死亡。治疗也较复杂,为总结经验教训,避免诱发因素,现介绍如下。
Infectious polyneuritis, even if it is critically ill, is expected to be fully recovered within a few months to two years once it has been rescued. Increased number of cerebrospinal fluid cells, papilledema, deep sensory loss or progression of the disease within a few weeks, then the poor or incomplete recovery. Another few cases, although cured may also relapse, cerebrospinal fluid is still dissociated protein cells, subacute or slow onset, known as recurrent (re-type) infectious polyneuritis. In recent years, we encountered 10 cases a total of 25 seizures, recurrence often than the first attack as heavy, or even death. Treatment is also more complicated, to sum up experience and lessons learned to avoid predisposing factors, are presented below.