CAJ | 학술논문

目的探讨小儿病毒性脑干脑炎疾病特点、诊断和治疗.方法对本人今年收治的8例病毒性脑干脑炎患儿的临床资料作回顾性分析,通过一般检查,生物电学检查及神经影像学检查进行确诊,给予退热、止痉、降颅压、降血压等对症治疗,抗生素、抗病毒,免疫支持治疗及免疫抑制、营养神经、康复综合治疗等.脑电图及头颅 CT 或 MRI 检查均可发现相应病变,结果8例患儿中痊愈3例,留有症状性癫痫1例,严重肢体瘫痪1例,呼吸机依赖1例,一侧眼球不能外展1例,死忙 1例.结论小儿病毒性脑干脑炎属于危重病,急性或亚急性起病,往往突然引起中枢性呼吸衰竭,循环衰竭,极易引起医疗纠纷,因此提高其认识,早期采取积极阻断措施尤为重要,强调早期、足量使用大剂量丙种球蛋白冲击治疗效果确切,若能排除外周细菌感染前提加用甲泼尼龙冲击治疗效果更显著.
목적탐토소인병독성뇌간뇌염질병특점、진단화치료.방법대본인금년수치적8례병독성뇌간뇌염환인적림상자료작회고성분석,통과일반검사,생물전학검사급신경영상학검사진행학진,급여퇴열、지경、강로압、강혈압등대증치료,항생소、항병독,면역지지치료급면역억제、영양신경、강복종합치료등.뇌전도급두로 CT 혹 MRI 검사균가발현상응병변,결과8례환인중전유3례,류유증상성전간1례,엄중지체탄탄1례,호흡궤의뢰1례,일측안구불능외전1례,사망 1례.결론소인병독성뇌간뇌염속우위중병,급성혹아급성기병,왕왕돌연인기중추성호흡쇠갈,순배쇠갈,겁역인기의료규분,인차제고기인식,조기채취적겁조단조시우위중요,강조조기、족량사용대제량병충구단백충격치료효과학절,약능배제외주세균감염전제가용갑발니룡충격치료효과경현저.
[Astract]Object To dicuss the child viralent brainstem encephalits disence characteristic, diagnosis and the treatment. Methods 8case viralent brainstem encephalits clinical matrial were analyzed rerospectively the genneral inspection ,the electrbiology inspection and nerve imageology inspection nerve carried on.,the patients were givenbring down a fever ,calming,Antispasmodic,reduce the cere brospinal fliud pressure,intracvanial pressure ,antibiotictreament ,immune support treatment immune inhibitian treatment, nervecel avtivator treatment rehabilitatian comprehensive treatment as wel as.Results,Electro encephal ogram and MRI inspection could detect corresponding path ological change.after treatmnt,3cases convalesced ,1case bogy series paresis ,1case remaid the symptom epilepsy ,1case died.Conclusion: The child viralent brainstenm belongs to the danger serious ilness ,accute or subacute onset .usualy leaved to central respiratory failure and circulatory failure.This case ofent cause medical malpractice ,so.it is very important to rase awareness and take effective blocking measure early ,If you can rule out bactertal infection,and then use nelthyprednisolone,pulse therapy,the efficacy wil be more pronounced.