CAJ | 학술논문

目的：探究脑电图检查、脑脊液检查、头颅CT检查等检查方式对重症手足口病合并脑炎患儿的临床诊断价值。方法对75例重症手足口病合并脑炎患儿行脑电图检查、脑脊液检查以及头颅CT检查，对比分析三种检查方式的检查结果，以鉴别三种检查方式的优劣。结果脑脊液检查异常率为90.67%，显著高于脑电图检查的78.67%和颅脑CT检查的13.33%，差异均具有统计学意义(P<0.05)。脑脊液检查误诊率和漏诊率分别为4.00%和6.67%，均显著低于脑电图检查的12.00%和16.00%以及颅脑CT检查的37.33%和52.00%，差异均具有统计学意义(P<0.05)。结论临床对重症手足口病合并脑炎的患儿采用脑电图检查、脑脊液检查以及头颅CT检查各有其优缺点，临床确诊时应选择多种方式联合检查以避免误诊、漏诊的发生，有助于临床治疗方案的制定。
목적：탐구뇌전도검사、뇌척액검사、두로CT검사등검사방식대중증수족구병합병뇌염환인적림상진단개치。방법대75례중증수족구병합병뇌염환인행뇌전도검사、뇌척액검사이급두로CT검사，대비분석삼충검사방식적검사결과，이감별삼충검사방식적우렬。결과뇌척액검사이상솔위90.67%，현저고우뇌전도검사적78.67%화로뇌CT검사적13.33%，차이균구유통계학의의(P<0.05)。뇌척액검사오진솔화루진솔분별위4.00%화6.67%，균현저저우뇌전도검사적12.00%화16.00%이급로뇌CT검사적37.33%화52.00%，차이균구유통계학의의(P<0.05)。결론림상대중증수족구병합병뇌염적환인채용뇌전도검사、뇌척액검사이급두로CT검사각유기우결점，림상학진시응선택다충방식연합검사이피면오진、루진적발생，유조우림상치료방안적제정。
Objective To explore the clinical diagnostic value of EEG examination, CSF examination and skull CT examination in children with severe hand-foot-mouth disease (HFMD) complicating encephalitis. Methods 75 cases of children with severe HFMD complicating encephalitis were given EEG examination, CSF examination and skull CT examination, the results were compared and analyzed in order to identify the advantages and disadvantages of three methods. Results The abnormal rate of CSF examination was 90.67%, significantly higher than 78.67%of EEG examination and 13.33%of skull CT examination, the difference was statistical (P<0.05). The misdiagnosis rate and missed diagnosis rate of CSF examination were 4.00%and 6.67%respectively, significantly higher than 12.00%and 16.00%of EEG examination and 37.33%and 52.00%of skull CT examination, with statistical difference (P<0.05). Conclusions EEG examination, CSF examination and skull CT examination in children with severe HFMD complicating encephalitis have their advantages and disadvantages. We should choose a variety of ways to avoid misdiagnosis and missed diagnosis, which is helpful to formulate clinical treatment.