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近年来,常见小儿尤其乳幼儿的突起高热,频繁惊厥,伴有严重的意识障碍,有的有轻度感冒症状及胃肠道症状,有的可有明显的呼吸衰竭及循环障碍,往往危及生命。其来势之猛很像中毒型菌痢,但无脓血便;也极像脑炎,但脑脊液正常;白细胞总数及中性核比例升高。临床上常常称为中毒性脑病;又因原因不明,亦称为不明原因急性脑病。根据上述条件,我科于1966~1973年上半年共收治不明原因急性脑病45例,占此期住院病儿总数的0.26%。凡有明显发病的如:肺炎、中毒性消化不良、中毒型菌痢、败血症等的脑病,一律除外。现仅就此45例进行分析如下:
In recent years, common in children, especially infants and young children with sudden fever, frequent convulsions, accompanied by serious disturbance of consciousness, and some have mild cold symptoms and gastrointestinal symptoms, and some may have significant respiratory failure and circulatory disorders, often life-threatening . Its potential fierce like poisoning bacillary dysentery, but no pus and blood; also very much like encephalitis, but normal cerebrospinal fluid; the total number of leukocytes and the proportion of neutral nuclei increased. Clinically often referred to as toxic encephalopathy; and because of unknown reasons, also known as unexplained acute encephalopathy. According to the above conditions, our department in the first half of 1966 ~ 1973 were treated 45 cases of unexplained acute encephalopathy, accounting for 0.26% of the total number of hospitalized children in this period. Where there is a clear incidence of such as: pneumonia, toxic indigestion, toxic bacillary dysentery, sepsis and other encephalopathy, all except. Now only 45 cases were analyzed as follows: