Wu H S, Yei Q F, Liu T C, Zhang W C
Beijing Children's Hospital, People's Republic of China.
Brain Dev. 1988;10(3):147-9.
This paper reports 504 cases admitted with acute polyradiculoneuritis (AP) to Beijing Children's Hospital from 1975 through 1984. 343 of the 504 cases (68.1%) with AP had respiratory paralysis and in 198/504 (39.3%), tracheotomy was performed. In this study, none of the patients received steroids. We attempted to assess the grades of respiratory paralysis and established the criteria for tracheotomy. We also must perform the following procedures: 1) Artificial ventilation must be used correctly, 2) The secretion should be aspirated regularly in order to maintain a clear airway, 3) Sterilization must be strictly conducted to prevent cross infection. As a result, of 504 cases with AP 9 died, the mortality rate being 1.79%. The study suggests tracheotomy should be performed early and it is one of the most important procedures in the treatment of AP with respiratory paralysis.
本文报告了1975年至1984年期间北京儿童医院收治的504例急性感染性多发性神经炎（AP）病例。504例AP病例中，343例（68.1%）出现呼吸麻痹，198例（39.3%）接受了气管切开术。在本研究中，所有患者均未使用类固醇。我们试图评估呼吸麻痹的程度并制定气管切开术的标准。我们还必须进行以下操作：1）正确使用人工通气；2）定期抽吸分泌物以保持气道通畅；3）严格进行消毒以防止交叉感染。结果，504例AP病例中有9例死亡，死亡率为1.79%。该研究表明，应尽早进行气管切开术，这是治疗伴有呼吸麻痹的AP最重要的措施之一。
