麻疹腦炎之臨床觀察－最近10年間在臺大小兒科住院之29例之分析

Clinical Observation of Measles Encephalitis-Clinical Analysis of 29 Cases at Recent 10 Years

范國照(Kuo-Chao Fan)

《Acta Paediatrica Sinica》 9卷2期 (1968/06) Pp. 82-87

摘要

麻疹爲小兒最普遍之傳染病，在今日其合併症中如肺炎，中耳炎等大部份可用抗生素予以治癒，但是尚難防治之麻診腦炎，即成爲麻疹之另一重要合併症了。
本文就最近十年間，臺大醫院住院之麻疹腦炎患者中之29例病例，加以分析討論。

並列摘要

37 cases of measles encephalitis were admitted to the pediatric ward of National Taiwan University Hospital during recent 10 years from 1958 to 1967, and 29 cases of them were clinically analyzed.
(1) More than half (68%) of the cases of measles encephalitis had normal findings of cerebrospinal fluid.
(2) The incidence of sequelae during recovery stage in measles encephalitis is rather high (56%). The commonest sequelae were rigidity of extremities, weakness of lower extremities and speach disturbance.
(3) The longer the consciousness disturbance durated, the higher rate of the sequelae were noted.
(4) ACTH prednisolone had no signifi cant effeet on the course of illness in terms of duration of consciousness disturbance and incidence of sequelae.