流行性乙型脑炎(简称乙脑)以学龄前儿童为多,感染率也高。患乙脑时由于高热、不进食等原因,引起胃肠道功能紊乱及肠道环境改变,常常导致寄居肠道的蛔虫逆行或钻孔而出现严重的并发症,特别是危重昏迷小儿,咳嗽、吞咽反射消失,蛔虫甚至盘踞于咽喉部或气管中而造成窒息死亡。举例:李××,男,4岁,1979年8月6日因高热抽风2天入院。根据流行病学史、临床征象、脑脊液及其他辅助检查,初步诊断为乙脑。入院后在予以降温、止惊等处理的同时给开驱虫净2天量,每天2片(50毫克)顿服。因其家长想等乙脑痊愈后再驱蛔,自行暂停服驱蛔虫药。患儿进入乙脑极期时曾出现多次痰阻窒息,均经吸痰并给祛痰剂后好转。入院第5天上午11时患儿又突然窒息,呼吸停 Japanese encephalitis (referred to as JE) to preschool children, infection rates are high. JE suffering from high fever, do not eat and other reasons, causing gastrointestinal disorders and changes in the intestinal environment, often leads to invasion of roundworms in the intestine retrograde or drilling and serious complications, especially in critically coma children, cough, Swallowing reflex disappears, roundworms even entrenched in the throat or trachea and cause suffocation. For example: Lee × ×, male, 4 years old, August 6, 1979 admission for 2 days due to high fever. According to epidemiological history, clinical signs, cerebrospinal fluid and other auxiliary examination, preliminary diagnosis of JE. After admission to be cooled, only the shock and other treatment to open worms net 2 days volume, 2 tablets (50 mg) Dayton clothing. Because of their parents want to wait for JE to heal and then drive roundworm, self-suspension drive roundworm insecticide. Childhood into the JE peak period when there have been multiple sputum asphyxia, both by suctioning and expectorant after the improvement. On the fifth day of admission, the child was suddenly asphyxiated and stopped breathing at 11 o’clock