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随着社会人口构成的老龄化,老年乙型脑炎(乙脑)发病率也有上升趋势,老年乙脑症状不典型又加上原有高血压、脑动脉硬化等合并症,往往容易延误诊治,为了减少老年乙脑病人死亡率,必须采取积极有效治疗措施,降低死亡率。本文将我院1977~1989年共收治老年乙脑32例,进行临床分析和治疗探讨,现报告如下。临床资料一、一般资料收住老年乙脑病人32例,男19例,女13例,年龄60~78岁,平均66岁。二、诊断依据所有病人均有发热、抽搐、嗜睡或昏迷等症状,伴有脑脊液异常改变、部分病人特异性IgM抗体检测阳性。三、临床表现与分型全部病人均有发热,体温超
With the aging of the social population, the incidence of Japanese encephalitis (JE) is also on the rise. Atypical senile JE symptoms, combined with the existing complications of hypertension and cerebral arteriosclerosis, are often delayed in diagnosis and treatment. Reduce the mortality of elderly patients with JE, we must take active and effective treatment to reduce mortality. This article will be our hospital from 1977 to 1989, a total of 32 cases of senile Japanese encephalitis, clinical analysis and treatment, are as follows. Clinical data First, the general information Reposted old patients with brain disease in 32 cases, 19 males and 13 females, aged 60 to 78 years, mean 66 years. Second, the diagnosis based on all patients have fever, convulsions, lethargy or coma and other symptoms, accompanied by abnormal cerebrospinal fluid changes, some patients with specific IgM antibody test positive. Third, the clinical manifestations and typing All patients have fever, body temperature over