中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
32期
93-94
,共2页
儿童边缘性脑炎%误诊误治%糖皮质激素%预后
兒童邊緣性腦炎%誤診誤治%糖皮質激素%預後
인동변연성뇌염%오진오치%당피질격소%예후
Children limbic encephalitis%Misdiagnosis%Glucocorticoid hormone%Prognosis
目的：探讨儿童边缘性脑炎的临床特点，旨在提高临床诊断准确率和改善患儿预后。方法：对儿童边缘性脑炎12例临床资料进行回顾性分析。结果：早期误诊患儿12例，误诊为病毒性脑炎9例，误诊为中毒性脑病1例，误诊为小儿癫痫1例，误诊为小儿神经症1例；临床治疗效果差，反复复发，最终确诊为边缘性脑炎，调整治疗方案，随访预后良好11例，留有癫痫发作1例。结论：儿童边缘性脑炎临床表现复杂，多种多样，容易误诊，糖皮质激素治疗效果较好。因此，提高对本病的正确认识，提高早期诊断正确率，对本病预后起到关键作用。
目的：探討兒童邊緣性腦炎的臨床特點，旨在提高臨床診斷準確率和改善患兒預後。方法：對兒童邊緣性腦炎12例臨床資料進行迴顧性分析。結果：早期誤診患兒12例，誤診為病毒性腦炎9例，誤診為中毒性腦病1例，誤診為小兒癲癇1例，誤診為小兒神經癥1例；臨床治療效果差，反複複髮，最終確診為邊緣性腦炎，調整治療方案，隨訪預後良好11例，留有癲癇髮作1例。結論：兒童邊緣性腦炎臨床錶現複雜，多種多樣，容易誤診，糖皮質激素治療效果較好。因此，提高對本病的正確認識，提高早期診斷正確率，對本病預後起到關鍵作用。
목적：탐토인동변연성뇌염적림상특점，지재제고림상진단준학솔화개선환인예후。방법：대인동변연성뇌염12례림상자료진행회고성분석。결과：조기오진환인12례，오진위병독성뇌염9례，오진위중독성뇌병1례，오진위소인전간1례，오진위소인신경증1례；림상치료효과차，반복복발，최종학진위변연성뇌염，조정치료방안，수방예후량호11례，류유전간발작1례。결론：인동변연성뇌염림상표현복잡，다충다양，용역오진，당피질격소치료효과교호。인차，제고대본병적정학인식，제고조기진단정학솔，대본병예후기도관건작용。
Objective:To investigate the clinical characteristics of children with limbic encephalitis in order to improve the accuracy of clinical diagnosis and the prognosis of children.Method:The clinical data of 12 children with limbic encephalitis were retrospectively analyzed.Results:There were 12 early misdiagnosis with hospital treatment.9 cases were misdiagnosed as viral encephalitis,one was misdiagnosed as toxic encephalopathy,one was misdiagnosed as pediatric epilepsy,one was misdiagnosed as infantile neurosis.The clinical treatment effect was poor with recurrent attacks.The final diagnosis was limbic encephalitis.After adjusting treatment plan,there were 11 cases of follow-up eusemia,one of seizures.Conclusion:The clinical manifestation of children limbic encephalitis is complex,various and easily misdiagnosed.Glucocorticoid hormone treatment effect is better.So it is important to improve the correct understanding of the disease and to improve the accuracy of early diagnosis,which plays a key role in the prognosis of the disease.
