What are the treatments for epidemic encephalitis?

What are the treatments for epidemic encephalitis?

What are the treatments for epidemic encephalitis?

Epidemic encephalitis treatment

Patients should be hospitalized, and the hospital should have anti-mosquito and cooling equipment. The condition should be closely observed, careful care should be taken to prevent complications and sequelae, which is of great significance for improving the curative effect.

1. General treatment
Pay attention to diet and nutrition, supply enough water, high fever, coma, convulsions, patients are prone to loss of water, it is appropriate to make up enough liquid, adults generally 1500 ~ 2000ml daily, children daily 50 ~ 80ml / kg. But the infusion should not be more, to prevent brain edema, aggravating the condition. Nasal feeding should be used for comatose patients.

What items do you need to check for epidemic encephalitis? What are the diagnostic methods for epidemic encephalitis?

What items do you need to check for Japanese encephalitis? What are the diagnostic methods for epidemic encephalitis?

What items do you need to check for epidemic encephalitis? What are the diagnostic methods for epidemic encephalitis?

Epidemic encephalitis check

1. Blood picture
The total number of white blood cells is increased, and neutrophils are above 80%. In a few light patients in the late epidemic, the blood picture can be within the normal range.

2. Cerebrospinal fluid
It is colorless and transparent, the pressure is only slightly increased, and the white blood cell count is increased. Neutrophils are predominant in the first 2 to 3 days of the disease, and mononuclear cells increase in the future. The sugar is normal or high, the protein is often slightly elevated, and the chloride is normal. Cerebrospinal fluid examination can be negative in a few cases within 1 to 3 days of the disease.

What is epidemic encephalitis? What are the clinical manifestations of epidemic encephalitis?

The pathogen of Japanese encephalitis (J-brain) was discovered in Japan in 1934, hence the name Japanese encephalitis. In 1939, Chinese scientists isolated JE virus. After liberation, they carried out a lot of investigation and research work and changed their name to epidemic encephalitis. The disease is mainly distributed in the Far East and Southeast Asia, and is transmitted by mosquitoes, which is more common in summer and autumn. Clinically, the onset of illness, high fever, disturbance of consciousness, convulsions, tonic spasm and meningeal irritation, etc., severe patients often have sequelae after illness, which is a blood-borne disease.

What is epidemic encephalitis? What are the clinical manifestations of epidemic encephalitis?

Epidemic encephalitis clinical manifestations
The incubation period is 10 to 15 days. Most patients have mild or asymptomatic latent infections, and only a few have central nervous system symptoms, which are characterized by high fever, disturbance of consciousness, and convulsions. The course of a typical case can be divided into four stages.

1. Initial stage
Acute onset, body temperature rose sharply to 39 ~ 40 ° C, with headache, nausea and vomiting, some patients have lethargy or mental fatigue, and have a mild neck stiffness, duration of 1 to 3 days.

2. Extreme period
The body temperature continues to rise, reaching more than 40 °C. The initial symptoms gradually worsened, and the consciousness was obviously obstructed, from lethargy, lethargy to coma. The deeper the coma, the longer it lasts and the more serious the condition. Unconsciousness can occur as early as the first 1-2 days of the disease, but it is more common in 3-8 days. In severe cases, generalized convulsions, tonic spasms or tonic spasms may occur, and a few may also be soft. Severe patients may have central respiratory failure due to brain parenchymal lesions (especially brain stem), hypoxia, cerebral edema, cerebral palsy, intracranial hypertension, hyponatremia, etc., manifested as irregular breathing rhythm, double suction Breathing, sigh breathing, apnea, tidal breathing and jaw breathing, etc., and finally stop breathing. Physical examination can detect meningeal irritation, pupils are slow to respond to light, disappear or dilated pupils, abdominal wall and cremaster reflex disappear, deep reflexes, pathological pyramidal tract signs, such as Pap smear can be positive.