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流行性腮腺炎脑膜炎与流行性腮腺炎疫苗接种(作者译)

[Mumps meningitis and mumps vaccination (author's transl)].

作者信息

Harasek G

出版信息

Wien Klin Wochenschr. 1978 Jan 6;90(1):7-10.

PMID:625986
Abstract

Mumps meningitis (MM) is the most frequent inflammatory disease of the central nervous system in children. It occurs twice as often in boys as in girls. Usually it is mild; encephalitic signs are found only in 2-3% of the cases. Even here persistent neurological signs are rare, but psychological alterations are found in about 20% of the cases. 40% of all MM cases occur in children of school age necessitating absence from school for four weeks at last. The frequency of MM makes it a financial problem too. In Viennese hospitals 4.2 million Austrian Schillings were spent yearly for hospitalization of children with MM, on average, during the years 1971-1975. The vaccination of all Viennese children born in a single year (18,000) against mumps would require an outlay of only 2.8 million Austrian Schillings. Wide-spread routine vaccination against mumps is indicated, therefore, not only for medical, but for social and economic reasons as well.

摘要

腮腺炎脑膜炎(MM)是儿童中枢神经系统最常见的炎症性疾病。其在男孩中的发病率是女孩的两倍。通常病情较轻;仅2%-3%的病例会出现脑炎体征。即便如此,持续性神经体征也很罕见,但约20%的病例会出现心理改变。所有MM病例中有40%发生在学龄儿童中,这使得他们至少需要四周不上学。MM的发病频率也造成了经济问题。在1971年至1975年期间,维也纳医院每年平均花费420万奥地利先令用于MM患儿的住院治疗。对维也纳某一年出生的所有儿童(18,000名)进行腮腺炎疫苗接种仅需花费280万奥地利先令。因此,广泛开展常规腮腺炎疫苗接种不仅出于医学原因,也出于社会和经济原因。

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