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病毒性脑炎是指病毒感染引起的脑实质的炎症。发热、头痛、意识障碍、精神症状、抽搐、神经系统定位体征是其主要临床表现。许多病毒可引起本病,常见的有单纯疱疹病毒、水痘-带状疱疹病毒、巨细胞病毒、肠道病毒70及71、麻疹病毒、风疹病毒、流行性腮腺炎病毒及黄病毒属等,单纯疱疹病毒性脑炎最常见。目前临床大多采取综合性治疗,抗病毒、脑细胞的保护、重要脏器功能的维持、并发症的预防。现对本病急性期治疗的进展作一综述。
Viral encephalitis refers to the infection of the brain caused by inflammation of the brain. Fever, headache, disturbance of consciousness, psychiatric symptoms, convulsions, and signs of neurological localization are the main clinical manifestations. Many viruses can cause this disease, common herpes simplex virus, varicella-zoster virus, cytomegalovirus, enterovirus 70 and 71, measles virus, rubella virus, mumps virus and flavivirus, simple Herpes viral encephalitis is the most common. Currently most of the clinical treatment, anti-virus, protection of brain cells, the maintenance of important organ function, prevention of complications. Now the progress of the treatment of acute stage of the disease are reviewed.