得了狂犬病能治好吗
Jun 27, 2019
Source: Cainiu Health
Dr. Li Yi
Introduction
目前来看，如果是确诊Patient得了狂犬病，几乎是不可能治好的。狂犬病发病之后，缺乏有效的针对性的Treatment手段，只能是以对症的综合Treatment为主。狂犬病在发病后，一般在发病后的3-8天，总病程在10天以内，死于呼吸循环的衰竭。
Can rabies be cured once contracted? Currently, if a patient is definitively diagnosed with rabies, recovery is virtually impossible. Once clinical symptoms appear, there are no effective, specific treatments available; management relies primarily on supportive and symptomatic care.
Key measures include isolating the patient in a single room to prevent saliva contamination, maintaining a quiet environment for the patient, and minimizing stimulation from noise, light, and drafts. Close monitoring and supplemental oxygen administration are essential. If pronounced pharyngeal muscle spasms occur, tracheostomy may be required.
Correction of acid-base imbalances and maintenance of electrolyte homeostasis are critical. Aggressive symptomatic management is also necessary—for example, sedatives may be administered for marked agitation; tachycardia, arrhythmias, or hypertension require appropriate pharmacologic interventions; and cerebral edema necessitates administration of osmotic diuretics.
Rabies lacks effective therapeutic options once clinical symptoms manifest, resulting in a near 100% fatality rate. Death typically occurs within 3–8 days after symptom onset, with the total disease course rarely exceeding 10 days, usually due to respiratory and circulatory failure.
