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本文对155例12岁以下儿童钩端螺旋体病后发脑动脉炎病例进行调查分析,结果显示患儿临床出现偏瘫、失语等症状并以7~9岁年龄组患儿最多,发病时间以每年11月至次年3月较多见,占7354%(114/155)。血清学试验(显凝试验)证实为钩体感染,共有黄疸出血、爪哇、犬、拜伦、秋季、澳洲、波摩那和七日热8个血清群的钩体可引起本病的发生,其中以波摩那群为多见,占7613%(118/155)。单纯用扩张血管药物治疗效果不好。经确诊后,用足量的青霉素治疗效果较好,患儿可基本痊愈。
In this paper, 155 cases of children under 12 years of age with leptospirosis after cerebral arteritis were investigated and analyzed, the results showed that children with clinical manifestations of hemiplegia, aphasia and other symptoms in children aged 7 to 9 years, the onset time of 11 Month to March the next year more common, accounting for 73 54% (114/155). Serological tests (coagulation test) confirmed that the leptospira infection, a total of jaundice bleeding, Java, Canine, Byron, autumn, Australia, Pomona and heat of the seven serogroup serogroup can cause the disease, which Pomegranate group is more common, accounting for 76.13% (118/155). Simply use the dilation of blood vessels to treat the effect is not good. After diagnosis, with adequate penicillin treatment is better, children can be basically cured.