中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2009年
15期
29-31
,共3页
儿童%病毒性脑炎%诊断%治疗
兒童%病毒性腦炎%診斷%治療
인동%병독성뇌염%진단%치료
Children%Viral encephalitis%Diagnosis%Treatment
目的:探讨儿童病毒性脑炎的临床特点及疗效价值.方法:选取东莞市莞城医院儿科收治的2008年2月～2009年2月所有确诊为病毒性脑炎患儿125例,对临床症状、体征,脑脊液常规和生化检查结果,脑电图与CT结果进行综合分析.结果:125例中有112例(89.6%)病前有其他部位的感染,其临床表现为,125例均有发热,呕吐89例(71.2%),头痛76例(60.8%),头痛伴腹痛37例(29.6%),抽搐43例(34.4%),精神状态73例(58.4%),意识障碍34例(27.2%),合并脑膜刺激征和病理征59例(47.2%),肌体瘫痪5例(4.0%),失语1例(0.8%);脑脊液检查异常88例(70.4%),脑电图异常92例(83.6%),72例头颅CT平扫异常16例.采用止惊、退热、降低颅压等综合治疗加抗病毒治疗,临床治愈101例,好转18例,放弃治疗5例,病死1例.结论:儿童病毒性脑炎临床表现呈多样化,早期诊断、及时治疗是治疗成功的关键.
目的:探討兒童病毒性腦炎的臨床特點及療效價值.方法:選取東莞市莞城醫院兒科收治的2008年2月～2009年2月所有確診為病毒性腦炎患兒125例,對臨床癥狀、體徵,腦脊液常規和生化檢查結果,腦電圖與CT結果進行綜閤分析.結果:125例中有112例(89.6%)病前有其他部位的感染,其臨床錶現為,125例均有髮熱,嘔吐89例(71.2%),頭痛76例(60.8%),頭痛伴腹痛37例(29.6%),抽搐43例(34.4%),精神狀態73例(58.4%),意識障礙34例(27.2%),閤併腦膜刺激徵和病理徵59例(47.2%),肌體癱瘓5例(4.0%),失語1例(0.8%);腦脊液檢查異常88例(70.4%),腦電圖異常92例(83.6%),72例頭顱CT平掃異常16例.採用止驚、退熱、降低顱壓等綜閤治療加抗病毒治療,臨床治愈101例,好轉18例,放棄治療5例,病死1例.結論:兒童病毒性腦炎臨床錶現呈多樣化,早期診斷、及時治療是治療成功的關鍵.
목적:탐토인동병독성뇌염적림상특점급료효개치.방법:선취동완시완성의원인과수치적2008년2월～2009년2월소유학진위병독성뇌염환인125례,대림상증상、체정,뇌척액상규화생화검사결과,뇌전도여CT결과진행종합분석.결과:125례중유112례(89.6%)병전유기타부위적감염,기림상표현위,125례균유발열,구토89례(71.2%),두통76례(60.8%),두통반복통37례(29.6%),추휵43례(34.4%),정신상태73례(58.4%),의식장애34례(27.2%),합병뇌막자격정화병리정59례(47.2%),기체탄탄5례(4.0%),실어1례(0.8%);뇌척액검사이상88례(70.4%),뇌전도이상92례(83.6%),72례두로CT평소이상16례.채용지량、퇴열、강저로압등종합치료가항병독치료,림상치유101례,호전18례,방기치료5례,병사1례.결론:인동병독성뇌염림상표현정다양화,조기진단、급시치료시치료성공적관건.
Objective: To investigate the clinical features and efficacy value of the viral encephalitis in children. Methods: Pediatric treated in Gangcheng Hospital from February 2008 to February 2009,all diagnosed viral encephalitis for 125 children,with clinical symptoms, physical symptom,conventional and biochemical eerebrospinal fluid examination, EEG and CT findings comprehensive analysis. Results: In 125 cases there were 112 children (89.6%) with other parts of the disease before the infection. The clinical manifestations were fever,vomiting for 89 cases (71.2%), headache for 76 cases (60.8%), 37 cases of headache associated with abdominal pain (29.6%), convulsion in 43 cases (34.4%), 73 cases of mental state (58.4%), 34 cases of disturbance of consciousness (27.2%), combined meningeal irritation symptoms and pathology of 59 cases (47.2%), 5 cases of paralysis of the body (4.0%), aphasia in 1 case (0.8%); 88 cases of abnormal cerebrospinal fluid examination (70.4%), 92 cases of abnormal EEG (83.6%),16 cases of abnormal head CT scan in 72 cases. Using only panic and cooling, reducing the combined treatment of intracranial hypertension plus anti-virus treatment,101 cases of clinically cured, 18 cases of good equipment, give up the treatment of 5 cases,1 case died. Conclusion: Children with viral en-cephalitis diverse clinical manifestations, early diagnosis and timely treatment is critical to the success of treatment.
