论文部分内容阅读
散发性病毒性脑炎(简称病脑)近十多年在我国有明显增多趋势,本病病情复杂,主要依据临床特点作出诊断,常有误诊。目前对本病尚无统一的诊断标准,根据上海、重庆、我院等地报告,诊断依据可归纳为以下几点:(1)急性或亚急性起病;(2)广泛性或局限性脑部损害的症状体征;(3)已排除其他脑部疾病及精神病的可能性;(4)按抗病毒感染治疗予后较好。现将1966年11月至1978年9月我科住院病人中误诊为病脑经尸检证实为结核性脑膜炎(简称结脑)2例、脑瘤5例(脑干肿瘤3例、脑室管膜瘤1例、丘脑肿瘤1例)报告于下。
Sporadic viral encephalitis (abbreviated as brain) has a tendency of increasing in recent years in China. The condition of this disease is complex, and diagnosis is based on clinical features. Misdiagnosis is often found. At present, there is no unified diagnostic criteria for this disease. According to reports from Shanghai, Chongqing, and our hospital, the diagnostic basis can be summarized as follows: (1) Acute or subacute onset; (2) Extensive or localized brain (3) The possibility of other brain diseases and mental illnesses has been ruled out; (4) Better treatment after antiviral infection. From November 1966 to September 1978, we have misdiagnosed the inpatients of our department as misdiagnosed as brain disease. The autopsy confirmed that there were 2 cases of tuberculous meningitis (abbreviated as brains) and 5 cases of brain tumors (3 cases of brainstem tumors, brain ependymology). One case of tumor and one case of thalamic tumor were reported below.