CAJ | 학술논문

目的：探讨手足口病并发脑炎的临床特点及脑电图特点。方法分析我院2009年4月至2012年8月收治的121例手足口病并发脑炎患儿的临床资料及脑电图资料。结果121例患儿合并肺水肿25例，心肌损害19例，肝脏损害1例，脑电图异常77例（64%）。给予大剂量丙种球蛋白联合甲基泼尼松龙冲击疗法及甘露醇、地塞米松、利巴韦林等综合治疗，均治愈出院。结论手足口病并发脑炎好发于3岁以下婴幼儿，早期发现及早治疗，预后较好，脑电图检查对协助诊断有较高的价值。
목적：탐토수족구병병발뇌염적림상특점급뇌전도특점。방법분석아원2009년4월지2012년8월수치적121례수족구병병발뇌염환인적림상자료급뇌전도자료。결과121례환인합병폐수종25례，심기손해19례，간장손해1례，뇌전도이상77례（64%）。급여대제량병충구단백연합갑기발니송룡충격요법급감로순、지새미송、리파위림등종합치료，균치유출원。결론수족구병병발뇌염호발우3세이하영유인，조기발현급조치료，예후교호，뇌전도검사대협조진단유교고적개치。
Objective Explore the clinical and EEG characters of HFMD and encephalitis. Methods Analyse the clinical information and EEG characters of 121 patients with HFMD and encephalitis from Apr, 2009 to Aug, 2012. Result The 121 patients, 25 are with pulmonary edema, 19 with cardiac damage, 1 with liver damage and 77 with electroencephalogram abnormality(64%). Through comprehensive treatment with large doses of gamma globulin, methyl prednisolone shock therapy, mannitol, hexadecadrol and ribavirin, all the patients were cured. Conclusion HFMD and encephalitis are usually found on patients less than 3 years old; the ealier it is found, the earlier it is cured; and favorable prognosis is obtained. And EEG examination is of great help in diagnosis.