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我院自1959——1962年四年中,共收治流行性乙型脑炎(以下簡称大脑炎)患者133例,其中死亡39例,病死率为29.3％,但其中23例于入院后24小时內死亡;为了探討該病的死亡原因,从而減少其死亡率,現将病历較完整的36例死亡病案作一分析,以供参考。一、死前診断要点 (一)流行病学史:在夏秋季节,当地有同类疾病流行。 (二)临床特点:突然起病,高热、头痛,繼之嗜睡、昏迷、抽风等。查体时有輕重不等的脑膜刺激征。 (三)化驗:脊脑液与白血球附合大脑炎变化。二、死亡分析 (一)死亡与季节关系:本病流行有季节性,本
In our hospital from 1959 to 1962 four years, a total of 133 cases of Japanese encephalitis (hereinafter referred to as encephalitis) patients, including 39 deaths, the case fatality rate was 29.3%, but 23 of them after admission In order to investigate the cause of death of the disease, thereby reducing the mortality rate, the 36 cases with complete medical records are analyzed for reference. First, the diagnostic points before death (a) a history of epidemiology: in summer and autumn, the local prevalence of similar diseases. (B) clinical features: sudden onset, fever, headache, followed by lethargy, coma, ventilation and so on. Check the body weight ranging from meningeal irritation. (C) test: Cerebrospinal fluid and leukocytosis associated with encephalitis changes. Second, the death analysis (a) the relationship between death and the season: the seasonal epidemic of this disease, the