论文部分内容阅读
本文概述了我院１９７９～１９９１年间住院治疗的１８２例重型、极重型＂乙脑＂的临床特点及救治过程中的几点体会。尽管目前尚未特殊疗法。但通过中西医结合治疗，其存活率为７６．３７％，死亡率为２３．５％（２４小时内死亡９例），纠正死亡率为１３．１４％，而１９７０～１９７８年单用西药治疗死亡率为４１．２８％，统计学处理有显著差异（Ｐ＜０．０ｌ）。在诊治过程中把住３关（高热、抽搐及呼吸衰竭）是＂乙脑＂治疗中的３个重要环节。西医西药作用快，疗效迅速可使高烧、抽搐及呼吸衰竭较快地得以改善，为早期应用中药创造良好的条件。中医治疗本着师古而不泥古的原则，文中把＂乙脑＂分为湿热并重型和热重型两大类；前者居多占８５％，早期三仁汤加味效果颇佳，极期张氏的＂清瘟败毒饮＂重用石膏每可取效。热重型尽管少见，但不乏其例，白虎汤主之；极期用化斑汤加桑白皮清营解毒，透热养阴。根据辨证施治的原则提高了治愈率，降低了死亡率，缩短了住院天数，实有俘鼓之效，为中西医结合治疗重症＂乙脑＂开创了新路。
This article outlines the clinical features of 182 cases of heavy and extremely severe “JE” hospitalized in our hospital from 1979 to 1991 and some experiences during the treatment. Although there is no specific treatment. However, the combination of traditional Chinese and Western medicine treatment, the survival rate was 76.37%, the mortality rate was 23.5% (9 deaths within 24 hours), the corrected mortality rate was 13.14%, while the Western medicine from 1970 to 1978 alone The mortality rate was 41.28%, statistically significant difference (P <0.01). In the process of diagnosis and treatment to live 3 (fever, convulsions and respiratory failure) is “JE” three important links in the treatment. Western medicine Western fast, rapid effect can make high fever, convulsions and respiratory failure can be improved faster, early application of traditional Chinese medicine to create good conditions. Traditional Chinese medicine treatment in accordance with the ancient and not muddy ancient principles, the text of the “JE” into hot and humid and heavy and hot heavy two categories; the former accounted for 85% of the majority, the early San Ren Tong taste quite good, very Zhang “Qingwenbaidu drink” reuse gypsum every available effect. Although rare, but heavy-duty, but no shortage of cases, white tiger main soup; extremely use of spot soup Gassan white skin Qingying detoxification, diathermy. According to the principles of syndrome differentiation and treatment to improve the cure rate, reduce mortality, shorten the length of stay in hospital, the actual effect of capturing the drum for the treatment of Integrative Medicine, severe “JE” opened up a new path.