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[蜱传脑炎急性期不同临床形式的后遗症]

[Sequelae of different clinical forms of the acute stage of tick-borne encephalitis].

作者信息

Dekonenko E P, Umanskiĭ K G

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(2):202-7.

PMID:6711207
Abstract

One to 38 years after the disease onset follow-up examinations were carried out involving 311 survivors of acute tick-borne encephalitis (TBE). Subjects from different regions of the Soviet Union were examined. Three forms of acute period were identified: focal (FTBE), meningeal (MTBE) and pyretic (PTBE). Of 104 patients with a history of FTBE, 52 displayed the progression of the disease at some time while the rest developed the residual organic syndrome of varying severity. Patients who had suffered MTBE (173) and PTBE (34) showed signs of organic and functional disorders of the central nervous system. All the forms of TBE were marked by a prolonged asthenic period. Survivors of TBE are in need of a long-term outpatient observation irrespective of the form of acute TBE.

摘要

在疾病发作后的1至38年,对311例急性蜱传脑炎(TBE)幸存者进行了随访检查。对来自苏联不同地区的受试者进行了检查。确定了急性期的三种形式:局灶性(FTBE)、脑膜性(MTBE)和发热性(PTBE)。在104例有FTBE病史的患者中,52例在某个时候出现了疾病进展,其余患者则出现了不同严重程度的残留器质性综合征。患有MTBE(173例)和PTBE(34例)的患者表现出中枢神经系统器质性和功能性障碍的迹象。所有形式的TBE都有一个延长的虚弱期。TBE幸存者无论急性TBE的形式如何,都需要长期门诊观察。

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