《英国医学杂志》第283卷第6297期(1981年)第935页登载Hillas Smith文章:急性病毒性脑炎的诊断和处理的实际问题以及定义和分类方面的复杂性给人们提出了许多问题。甚至在已经作出或暂时作出诊断后要比较个别病例之间的严重性也是困难的。记分方法或许可取,按各种不同的特征给予不同的分数:颈肌强直1分、发热1分、颅神经异常2分、神智不清3分、昏迷4分等等。这样,每个病人的总分可对本病的严重程度提出一些情况并有利于病例的比较。Wayne曾引用这一方法诊断甲状腺疾病。然而,这种分类方法还存在一些问题,因为它有赖于鉴别某些病毒感染和所谓 28Marchment 6297 (1981), p. 935 Hillas Smith Article: The practical problems of diagnosis and management of acute viral encephalitis and the complexity of definitions and classifications raise many questions. It is difficult to compare the severity of individual cases even after a diagnosis has been made or has been made. Scoring method may be desirable, according to a variety of different characteristics to give different scores: 1 point of neck muscle rigidity, 1 point fever, cranial nerve abnormalities 2 points, 3 points, 3 points, coma and so on. In this way, the total score for each patient may provide some information on the severity of the disease and will facilitate comparison of the cases. Wayne has cited this method to diagnose thyroid disease. However, there are still some problems with this classification because it depends on the identification of certain virus infections and the so-called