论文部分内容阅读
散发性病毒性脑炎自70年代以来发病率有明显增高趋势。其临床表现较复杂,目前主要仍靠临床诊断。本文分析我院1982年以来诊断为病毒性脑炎的78例患者,探讨本地区发病的一些特点。 临 床 资 料 一、诊断标准:根据文献介绍的诊断标准,结合实际情况,本组的诊断依据是:1.有或无前驱症状;2.多有意识障碍或精神症状,有较多样化的神经系统方面的改变。3.脑脊液及血常规检查轻度异常或无改变。4. 排除神经精神系统的其它疾病。 二、一般资料:78例中男35例,女43例,男女之比为1:1.23,年龄最大71岁,最小9个月。7岁以下7例(9％),8～15岁11例(14％),16～35岁37例(47.4％),36～50岁13例(16.7％)。50岁以上10例(12.8％),以青少年多见。各个月都有病例报告,但以5、6、7月份最多,共38例,占48.7％。 三、临床表现及实验室检查:见表1、表2。
The incidence of sporadic viral encephalitis has been significantly increased since the 1970s. The clinical manifestations of more complex, mainly still rely on clinical diagnosis. This article analyzes 78 patients diagnosed with viral encephalitis in our hospital since 1982 to explore some of the characteristics of the disease in the region. Clinical data First, the diagnostic criteria: According to the diagnostic criteria introduced in the literature, combined with the actual situation, the diagnosis of this group are based on: 1. with or without prodromal symptoms; 2. more consciousness or mental symptoms, more diverse aspects of the nervous system Change. 3. Cerebrospinal fluid and blood tests mild abnormal or no change. 4. Exclude other neuropsychiatric disorders. Second, the general information: 78 cases of 35 males and 43 females, male to female ratio of 1: 1.23, the oldest 71 years old, minimum 9 months. Seven (9%) were below 7 years old, 11 (8.1%) were between 8 and 15 years old, 37 (16.4%) were between 16 and 35 years old and 13 (16.7%) were 36 to 50 years old. 10 cases over the age of 50 (12.8%), more common in adolescents. Each month there are case reports, but the most in May, June and July, a total of 38 cases, accounting for 48.7%. Third, clinical manifestations and laboratory tests: See Table 1, Table 2.