儿童流行性乙型脑炎双相期治疗与预后高危因素分析

发表时间：2014-04-23 浏览次数：627次

引用：

李容文.儿童流行性乙型脑炎双相期治疗与预后高危因素分析[J].吉林医学,2014,4(11):2279-2281

关键词：

儿童；流行性乙型脑炎；双相期；治疗；

作者：

李容文

作者单位：

四川省三台县人民医院，四川三台621100

出版年份：

2014

期刊页数：

2279-2281

收录者：

知网,万方

摘要：

目的：探讨流行性乙型脑炎双相期治疗与预后的高危因素。方法：回顾性分析116列儿童乙型脑炎的高危因素。结果：乙型脑炎双相期发病机制不明确，没有有效治疗方法，预后差，预后差的患儿意识障碍时间、发热时间、惊厥发作时间均明显大于预后好的患儿；意识障碍程度深，合并呼吸衰竭者，预后差。结论：迅速控制高热、抽搐是治疗重型流行性乙型脑炎并降低残死率的有效方法，大剂量丙种球蛋白治疗有效。双相期无有效治疗方法，预后差，乙脑疫苗注射是目前主要行之有效的预防措施。 To study duplexphase, treatment and risk factors of children with jaoanese encephalitis（ JE） . Methods Retrospestive analysis of 116 case of Japan Se Encephalitis in our hospital from July 2005 to December 2013. Thepathofenesis of JE' s duplexphase was not clear, there was no effective treatment methods. There were significant difference in the time of impaired consciousnes, fever,seizures between poor and good prog prognosis. And the prognosis of JE with respiratory failure was poor. Conclusion The effective methodto reduce the residual rate of death: Control high fever and convulsion high doses of gamonaglobuim. There was no effective treatment meth ods in duplex phase of JE. Cunrently, vaccination is the most efficient methods for the prevention of JE.

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