Clinical care about JE.docVIP

 PAGE \* MERGEFORMAT 9 Clinical care about JE [Abstract] encephalitis (epidemic encephalitis B) referred to as JE is caused by the JE virus in acute central nervous system diseases. Clinically by high fever, unconsciousness, convulsions, meningeal irritation, and pathological reflex characterized. severe, often appears central respiratory failure, high mortality, and leave the nervous system sequelae. [Keywords:] JE care 1 Clinical data 1.1 General information from 2004 to 2009 in summer and autumn of JE patients in our hospital 43 patients were treated, including 27 males and 16 females, aged 1-70 years, mean age of 33, .13 8 patients over the age of 13, 50 cases. According to the literature for diagnosis and classification [1], ordinary type in 7 cases, 21 cases of severe, very severe in 17 cases. Clinical Nursing now reported as follows. 1.2 Clinical manifestations of Taiwan stay high fever, headache, vomiting, unconsciousness, convulsions, severe patients may have respiratory failure. Meningeal irritation, and pathological reflex positive. 1.3 Laboratory tests of blood leukocytes and neutrophils were increased, changes in cerebrospinal fluid was aseptic meningitis, can make a clinical diagnosis. Serological tests for the diagnosis of JE IgM antibody positive basis. It should be noted and poisoning JE dysentery, tuberculosis, meningitis, purulent meningitis, identification of other viral encephalitis. 2 primary care measures Careful, meticulous care to improve the cure rate and decrease mortality and prevent the occurrence of complications play an important role. 2.1 should be hospitalized, the insect isolation. 2.2 The vital signs of the disease observed ①, particular attention should observe changes in body temperature and respiration, measured every 1 to 2 hours the body temperature 1 to observe the respiration rate, rhythm, to determine the presence of respiratory failure; ② to observe the continued i