实施职业卫生分类分级监管的实践体会

流行性乙型脑炎（乙脑）是由乙脑病毒感染所致的中枢神经系统急性传染病，患者有高热、呼吸衰竭、意识障碍、抽搐等神经系统明显受损的表现。目前，该病缺乏特效治疗药物，临床主要依靠积极对症治疗和支持治疗。近年来，依靠先进的器官支持技术和优质的护理措施最大限度提高了流行性乙脑整体救治成功率，但极重型流行性乙脑患者会导致严重神经系统后遗症，其致残率仍然居高不下。本文就流行性乙脑后遗症处理中面临的诸多非医学问题，从生理、心理、社会、伦理等多方面进行探讨，分析其原因和对策，为提高患者生存质量提供参考。

Discussion and decision-making on non-medical problems in treatment of sequelae of Japanese encephalitis

Japanese encephalitis (JE) is an acute central nervous system disease caused by JE virus infection. It is characterized by high fever, respiratory failure, disturbance of consciousness, convulsions and other nervous system damage. At present, there is no specific drugs in treatment of JE, and clinical treatment strategies mainly include active symptomatic and supportive treatment. In recent years, advanced organ support technologies and high-quality nursing measures have maximized the overall survival rate of JE. However, patients with extremely severe JE will develop serious neurological sequelae, and the disability rate remains high. In this paper, many non-medical problems in the treatment of JE sequelae are discussed from the aspects of physiology, psychology, society and ethics. The cause and countermeasures are analyzed, so as to provide reference for improving the life quality of patients.