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流行性乙型脑炎至今尚无特效治疗方法,危重型病人病死率仍在10%左右,而幸存者恢复慢。多并发后遗症,从1982年起我院传染科和高压氧室协作,用高压氧舱治疗乙型脑炎14例,取得较满意疗效,现报道如下;临床资料本组14例患者均经临床确诊,其中5例作乙脑特异性IgM 测定,其IgM 滴度均在1:160以上。14例中男12例,女2例,年龄3—32岁。病程3天—7个月,治疗次数7—60次,结果8例完全恢复,4例显著恢复,2例好转。14例患者在高压氧舱治疗开始时,多处于昏迷、半昏迷,分别表现滞呆、抽搐、瘫痪、失语、大小便失禁等症状。治疗方法:将患者置于10NE—750型氧舱内,以纯氧经25分钟加压至2个绝对大气压、稳压吸氧80分钟,其间换气两次,每次10分钟,经25分钟缓慢减压出舱,每天1次,10次为1疗程。
There is no effective treatment for Japanese encephalitis so far. The mortality of critically ill patients is still about 10%, while the survivors recover slowly. Multiple concurrent sequelae, from 1982 Department of Infectious Diseases and hyperbaric chamber collaboration, with hyperbaric chamber treatment of Japanese encephalitis in 14 cases, to obtain more satisfactory efficacy, are reported below; Clinical data of this group of 14 patients were clinically diagnosed , Of which 5 cases for JE-specific IgM determination, the IgM titers were above 1: 160. 14 cases of male 12 cases, 2 females, aged 3-32 years. Course of 3 days -7 months, the number of treatment 7-60 times, the results of 8 cases fully recovered, 4 cases of significant recovery, 2 cases improved. 14 patients in the hyperbaric oxygen chamber at the beginning of treatment, mostly in coma and semi-coma, respectively, showing degeneration, convulsions, paralysis, aphasia, incontinence and other symptoms. Treatment: The patient was placed in 10NE-750-type oxygen chamber to pure oxygen 25 minutes to 2 absolute atmospheric pressure, oxygen pressure regulator 80 minutes, during which the air twice, each 10 minutes, after 25 minutes slow Decompression out of the cabin, 1 day, 10 times for a course of treatment.