江苏省建湖县146例病毒性脑炎和脑膜炎的调查分析

目的探讨建湖县儿童病毒性脑炎流行的病因、流行规律及特征,为建湖县病毒性脑炎的诊断与防治提供科学依据。方法对2009年在建湖县人民医院儿科临床诊断为病毒性脑炎的146例病例进行流行病学调查。结果 146例患者10岁以下的占82.88%;男性占69.18%,女性占30.82%;5—7月为发病高峰。临床主要表现为突然发病,发热患者占75.3%,热程平均3 d;头痛占89.7%,80%的患者头痛不超过3 d;呕吐占68.5%,多为非喷射状;嗜睡占43.2%。脑电图以轻中度异常为主,17.0%血常规正常,脑脊液检查74.7%颅内压力增高,18.1%蛋白含量增高,19.3%细胞数增加。结论该县2009年8个月内发生146例病毒性脑炎、脑膜炎病例,应引起重视,加强监测工作是预防和控制病毒性脑炎流行的关键。

Investigation on 146 Cases of Viral Encephalitis and Meningitis in Jianhu County of Jiangsu Province

[Objective]To investigate the pathogenesis,epidemic regularity and features of Children with viral encephalitis in Jianhu County,and provide scientific evidence for its diagnosis,prevention and control. [Methods]Epidemiological investigation was performed on 146 children with clinical diagnosis of viral encephalitis in Jianhu People's hospital in 2009. [Results]Of 146 patients,82.88% were children under 10 years;69.18% of male,and 30.82% of female;the peak incidence appeared during May-July.The main clinica...