摘要
目的探讨儿童急性脱髓鞘脑病的临床表现和诊治特点。方法对18例急性脱髓鞘脑病患者进行回顾性分析,总结一般资料,行脑脊液检查、脑电图检查、影像学检查和诱发电位检查。经使用大剂量甲基泼尼松龙静脉冲击治疗,以及丙种球蛋白和神经营养药物治疗。结果患儿行脑脊液和脑电图检查大部分存在异常情况,MRI检查脱髓鞘病灶呈T1低信号或等信号、T2高信号改变,治疗结果好转15例,无效3例。结论儿童急性脱髓鞘脑病临床表现多变,影像学有助于明确诊断,疗效较好。
Objective Discusses the child acute demyelinating encephalopathy diagnosis and the treatment.Methods To acute demyelinating encephalopathy 18 cases clinical characteristic,the diagnosis,the method of treatment and the curative effect carries on the review analysis.Results The patients line cerebrospinal fluid inspection,the electroencephalogram inspection and the MRI inspection detectable corresponding pathological change,the treatment result changes for the better 15 cases,the invalid 3 cases,the cure improvement rate to reach 80%.Conclusion The child acute demyelinating encephalopathy clinical manifestation to change many,the imageology is helpful to the diagnosis clearly,the curative effect good.
出处
《中国实用医药》
2007年第24期49-50,共2页
China Practical Medicine
关键词
脱髓鞘脑病
自身免疫性
临床分析
Demyelinating encephalopathy
Autoimmune
Clinical analysis
