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麻疹脑炎为麻疹病程中預后严重的并发症,近年來其发病率有增高趋势,国外报告較多,国內至今共約数十例,单独报告者尤少。今将我院自1959年1月至1963年6月四年半时間內收容的16例作一簡单分析,特別着重于促腎上腺皮質激素(簡称促皮素)及腎上腺皮質激素(簡称皮貿素)对本症治疗效果及預后的討論,供同道們参考。病例分析 1.发病率:国外統計为0.1％;我院在同时期內共收容痲疹3668例,发病率約0.44％,国內彭大恩等报告高达9.0％,此与入院者均系重症及有并发症的麻疹有关。 2.年龄、性别:麻疹脑炎多并发于嬰幼儿,本組16例中,除3、4及6岁者各一例外,余均在6月至2岁間,与彭氏报告相似。男性9例,女性7例。 3.临床表現:一般認为脑炎症状多起始于出疹后4-6天,本組中10例发生在此間,最早者在出疹时,最迟一例在疹后13天,平均为5.4天。多数病例皮疹已出齐,体溫亦有所下降后,驟然起病,主要表現
Measles encephalitis is a serious prognosis complication in the course of measles. In recent years, the incidence of measles encephalitis has been on the rise. There are more foreign reports, so far there are about 10 cases reported in China. Now in our hospital from January 1959 to June 1963 in four and a half years to accommodate a simple analysis of 16 cases, with particular emphasis on adrenocorticotropic hormone (referred to as corticotropin) and adrenal cortex hormones Known as leather trade) on the treatment of this disease and the prognosis of discussion, for fellow who reference. Case Analysis 1. Incidence: Statistics abroad was 0.1%. During the same period, our hospital received a total of 3668 cases of measles, the incidence rate of about 0.44%, the domestic Peng Dayun other reports up to 9.0%, which were admitted to hospital with severe and complicated Symptoms of measles. 2. Age and gender: Measles and encephalitis and more in infants and young children, the group of 16 cases, with the exception of 3,4 and 6-year-old exception, all in June to 2 years old, similar to Peng’s report. 9 males and 7 females. 3. Clinical manifestations: It is generally believed that encephalitis symptoms began 4-6 days after the rash, the group occurred in 10 cases, the earliest in rash, the latest case of rash 13 days, with an average of 5.4 days. Most cases have rash rash, body temperature has declined, the sudden onset, the main performance