Tsinzerling V A
Arkh Patol. 1985;47(10):7-16.
The analysis of the autopsy material of children dying from acute neuroinfections in a specialized department of the Research Institute of Children's Infections from 1954 to 1984 is presented. The increase of the importance of hypertoxic forms of meningococcal infection, purulent meningoencephalitis (particularly those of pneumococcal etiology) as well as acute viral encephalitis (particularly herpetic ones) is noted at present. The results of the materials studied by the author from 182 children dying of those infections at the period from 1971 to 1984, the problems of their patho- and tanatogenesis are discussed. Special attention is drawn to the necessity of considering the type of an etiological agent, its properties, the features of tissue response and those of the immunological resistance in the brain for the diagnosis and epicritic assessment of acute neuroinfections.
本文呈现了对1954年至1984年期间在儿童感染研究所专门科室死于急性神经感染的儿童尸检材料的分析。目前已注意到,高毒性形式的脑膜炎球菌感染、化脓性脑膜脑炎(特别是肺炎球菌病因的那些)以及急性病毒性脑炎(特别是疱疹性脑炎)的重要性有所增加。作者讨论了1971年至1984年期间对死于这些感染的182名儿童所研究材料的结果,以及它们的病理发生和死亡发生问题。特别强调了在急性神经感染的诊断和精确评估中,考虑病原体类型、其特性、组织反应特征以及大脑免疫抵抗力特征的必要性。