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近年来破伤风的治疗,虽然有了不少进展,但病死率仍然不低。国內外文献中,除例数較少的病例組有病死率很低甚至无死亡者外,在100例以上无选择的連續病例組或綜合病例組,共病死率多在30～50％。我院在1954～1963年10年間共收治破伤风患者132例,死亡46例,总病死率为34.8％,其中新生儿25例,死亡15例(病死率为60％),其余107例,死31例(病死率为28.7％)。如将入院后24小时內死亡的25例扣除,則糾正病死率为15.9％。本文对此132例的临床資料进行了分析,并結合文献討論如下。
In recent years, the treatment of tetanus, although a lot of progress, but the mortality is still not low. In domestic and foreign literatures, with the exception of cases with a small number of cases with very low mortality or even no deaths, the co-morbidities were more than 30% -50% in more than 100 consecutive cases or comprehensive cases with no choice. In our hospital from 1954 to 1963, 10 cases of tetanus were treated in 132 cases, 46 cases of death, the total case fatality rate was 34.8%, of which 25 cases of newborns, 15 cases of death (case fatality rate was 60%), and the remaining 107 cases died 31 cases (case fatality rate was 28.7%). If 25 patients died within 24 hours after admission deducted, then correct the case fatality rate was 15.9%. In this paper, 132 cases of clinical data were analyzed and combined with the literature discussed below.