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流行性乙型脑炎(简称乙脑)每年七、八、九三个月集中出现,尤以八月中旬为高峰,而重危病人大多见于流行初期。根据这些流行规律,传染病临床工作者于每年流行之前应有充分思想准备,提前在物质、人力上作好安排。抡救乙脑必需把住三关,高热、抽风和呼吸衰竭(简称呼衰),其中尤以呼衰为病死的主要原因。我院近5年共收治乙脑394例,重型占63.4%,共死亡47例(包含入院24小时内死亡14例),死因中呼衰为主要原因者41例,占87.2%。国内乙脑病死率在10~20.99%之间,其中死于脑水肿、脑疝者亦高达80.7%。由此可见抡救乙脑,关键在正确处理呼衰。
Epidemic encephalitis (JE) occurs annually in seven, eight and ninety-three months, especially in mid-August, while most critically ill patients are found in the early stages of epidemics. According to these epidemic laws, infectious disease clinicians should be well-prepared before being popular each year, making material and manpower advance arrangements.抡 save the brain must take three Jien, fever, ventilation and respiratory failure (referred to as respiratory failure), especially respiratory failure as the main cause of death. Nearly 5 years in our hospital, 394 cases of JE were treated, 63.4% of them were heavy, and 47 died (including 14 deaths within 24 hours after admission). Among them, 41 cases accounted for 87.2% of the total. Domestic mortality rate of Japanese encephalitis in 10 ~ 20.99%, which died of cerebral edema, hernia also up to 80.7%. This shows that the rescue of Japanese encephalitis, the key is to properly handle respiratory failure.