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根据作者提出的小儿急性脑水肿诊断标准,分析了来自17所医院不同原因导致的小儿急性脑水肿1494例。1494例中377例死亡(25.25%)。其中101例未正规地进行第一线抗脑水肿制剂(甘露醇、地塞米松与速尿)治疗,81例(80.20%)死亡;1393例正规地进行第一线抗脑水肿制剂治疗,296例(21.25%)死亡。两组比较差异有显著意义(P<0.05)。提示根据小儿急性脑水肿临床诊断标准及时进行诊断与恰当的治疗有重要意义。
According to the diagnostic criteria of pediatric acute cerebral edema proposed by the author, 1494 children with acute cerebral edema caused by different causes in 17 hospitals were analyzed. Of 1494 cases 377 died (25.25%). Among them, 101 cases were not formally treated with first-line anti-cerebral edema preparations (mannitol, dexamethasone and furosemide), and 81 (80.20%) died of the first-line anti-cerebral edema preparations; Cases (21.25%) died. There was significant difference between the two groups (P <0.05). Tip according to the clinical diagnosis of acute cerebral edema in children with timely diagnosis and appropriate treatment of great significance.