儿童病毒性脑炎46例临床分析

【摘要】 目的:探讨儿童病毒性脑炎的临床特点及治疗方法。方法:对46例确诊为病毒性脑炎的患儿临床特点进行回顾性分析。结果:发病多集中在学龄前及学龄儿童,发热46例(100%),头痛46例(100%),呕吐39例(84.8%),意识障碍18例(39.1%),惊厥8例(17.4%),脑膜刺激征25例(54.3%);脑电图检查异常28例(60.9%);在综合治疗的基础上,给予病毒唑或更昔洛韦抗病毒治疗,取得良好效果。结论:病毒性脑炎好发学龄前及学龄儿童,脑脊液细胞学检查有助于病毒性脑炎的早期诊断和鉴别诊断,同时结合脑电图和头颅CT检查协助早期诊断,绝大多数预后好。更多还原

【Abstract】 Objective:To investigate the clinical characteristics and treatment of children viral encephalitis.Methods:The clinical date of 46 cases of children viral encephalitis were rolled in the retrospective study.Results:The majority cases were preschool-aged children and school-age children.There were 46 cases with fever(100%),46 cases with headache(100%),39 cases with vomit(84.8%),18 cases with consciousness(39.1%),8 cases with convulsion(17.4%),25 cases with meningeal irritation sign(54.3%),28 cases with abnormalities of ECG(60.9%).Based on comprehensive therapy,Given ribavirin or ganciclovir antiviral therapy get good effect.Conclusions:The majority cases of children viral encephalitis were preschool - aged children and school-age children.Cerebrospinal fluid(CSF) cytology contributed to early stage diagnosis and the differential diagnosis of virus encephalitis.Combined with EEG and head CT examination for early diagnosis,the vast majority has good prognosis.更多还原