严重脑炎的治疗仍是一个难题,往往由于进行性脑水肿引起死亡。大剂量巴比妥酸盐能迅速降低头颅外伤患者的增高的颅内压,对严重脑炎和脑膜炎患者亦有裨益。作者报道用大剂量巴比妥酸盐结合类固醇和人工呼吸器等常规抗脑水肿疗法治疗6例严重脑炎的结果。 6例患者的脑炎分别由麻疹、水痘、单核细胞增多症、流行性感冒、风疹和百日咳所致。所有患者应用人工呼吸器5～8天。2例施行气管切开术。3例 The treatment of severe encephalitis is still a problem, often caused by progressive cerebral edema death. High-dose barbiturates rapidly reduce the increased intracranial pressure in patients with craniocerebral injury and benefit patients with severe encephalitis and meningitis. The authors report the results of treating six patients with severe encephalitis with conventional anti-brain edema therapy such as high-dose barbiturates combined with steroids and respirators. Encephalitis in 6 patients was caused by measles, chickenpox, mononucleosis, influenza, rubella and whooping cough respectively. All patients should use artificial respirators for 5 to 8 days. 2 cases tracheotomy. 3 cases