世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
8期
28-28,35
,共2页
单纯疱疹病毒性脑炎%蝶骨电极脑电图%早期诊断
單純皰疹病毒性腦炎%蝶骨電極腦電圖%早期診斷
단순포진병독성뇌염%접골전겁뇌전도%조기진단
herpes simplex virus encephalitis%sphenoid electrode EEG%early diagnosis
目的探讨单纯疱疹病毒性脑炎(HSVE)的临床特点及误诊原因。方法回顾性对38例HSVE患者的临床表现、脑电图、头颅核磁、脑脊液结果进行分析。结果 HSVE患者首发症状多样化，蝶骨电极脑电图（sphenoidal needle electrode EEG，Sne-EEG）及脑脊液阳性率较高。结论 HSVE的首发症状多样化，可表现为精神障碍、智能障碍、癫痫等，应结合症状体征及辅助检查综合判断，同时应早期完善蝶骨电极脑电图检查，避免误诊。
目的探討單純皰疹病毒性腦炎(HSVE)的臨床特點及誤診原因。方法迴顧性對38例HSVE患者的臨床錶現、腦電圖、頭顱覈磁、腦脊液結果進行分析。結果 HSVE患者首髮癥狀多樣化，蝶骨電極腦電圖（sphenoidal needle electrode EEG，Sne-EEG）及腦脊液暘性率較高。結論 HSVE的首髮癥狀多樣化，可錶現為精神障礙、智能障礙、癲癇等，應結閤癥狀體徵及輔助檢查綜閤判斷，同時應早期完善蝶骨電極腦電圖檢查，避免誤診。
목적탐토단순포진병독성뇌염(HSVE)적림상특점급오진원인。방법회고성대38례HSVE환자적림상표현、뇌전도、두로핵자、뇌척액결과진행분석。결과 HSVE환자수발증상다양화，접골전겁뇌전도（sphenoidal needle electrode EEG，Sne-EEG）급뇌척액양성솔교고。결론 HSVE적수발증상다양화，가표현위정신장애、지능장애、전간등，응결합증상체정급보조검사종합판단，동시응조기완선접골전겁뇌전도검사，피면오진。
Objective To investigate the herpes simplex virus encephalitis (HSVE) the clinical characteristics and misdiagnosis. Methods:A retrospective of 38 patients HSVE clinical manifestations, EEG, head magnetic resonance imaging, cerebrospinal lfuid were analyzed. Results:HSVE ifrst symptom in patients with diverse sphenoid electrode EEG (sphenoidal needle electrode EEG, Sne-EEG) and cerebrospinal fluid of higher positive rate. Conclusion: HSVE the first symptom of diversification, may manifest as mental disorders, mental retardation, epilepsy, etc., should be combined with signs and symptoms and laboratory examinations comprehensive judgment, and should improve the sphenoid electrode EEG early to avoid misdiagnosis.
