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[瑞氏综合征。临床修订版(作者译)]

[Reye's syndrome. Clinical revision (author's transl)].

作者信息

Gutiérrez Benjumea A, Navarro González J, Cintado Bueno C, Tovaruela Santos A

出版信息

An Esp Pediatr. 1979 Jun-Jul;12(6-7):511-22.

PMID:39483
Abstract

Authors studied nine cases of Reye's syndrome, seen over a period of five years. Their ages ranged from 45 days to 3 6/12 years, eight being less than a year old. Mortality rate was 55% and two of the four surviving children presented serious neurological sequelas. In all cases liver pathology was studied by percutaneous biopsy and/or necropsy. Clinical, analitical and anatomopathological findings were similar to those usually described in this syndrome. Medical literature was revised as to etiology and pathology, noting specially the tendency of this syndrome to present in groups, its possible relationship to viral epidemics and the inconsistency of the results of certain therapeutic measures widely used until now. The possible relationship between Reye's syndrome and the usual infant vaccinations, as they found in two cases, as well as the convenience of hepatic studies in the event of postvaccinal encephalopathy is suggested.

摘要

作者研究了在五年期间所见的9例瑞氏综合征病例。他们的年龄从45天到3岁6个月不等,其中8例小于1岁。死亡率为55%,4名存活儿童中有2名出现严重的神经后遗症。所有病例均通过经皮活检和/或尸检对肝脏病理进行了研究。临床、分析和解剖病理学发现与该综合征通常描述的情况相似。对医学文献中关于病因和病理的内容进行了修订,特别指出了该综合征呈群体发病的趋势、其与病毒流行的可能关系以及迄今为止广泛使用的某些治疗措施结果的不一致性。文中提出了瑞氏综合征与常规婴儿疫苗接种之间可能的关系,这是在2例病例中发现的,以及在发生疫苗接种后脑病时进行肝脏研究的便利性。

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