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目的探讨儿童病毒性脑炎(病脑)的诊断和治疗方法。方法采用回顾性分析法,对78例病毒性脑炎患儿的临床表现、体征、辅助检查、治疗方法和治疗效果进行分析。结果儿童病脑临床表现以发热、头痛、呕吐为主,阳性体征少。辅助检查:脑电图异常92.3%;脑脊液压力增高,白细胞异常75.6%。结论外周血白细胞计数、脑电图、脑脊液、头颅CT等辅助检查有早期诊断意义。病脑主要采取综合治疗,大剂量丙种球蛋白可有效抑制病情发展,改善预后。
Objective To investigate the diagnosis and treatment of viral encephalitis in children. Methods The clinical manifestations, signs, auxiliary examination, treatment and treatment of 78 children with viral encephalitis were analyzed retrospectively. Results The clinical manifestations of children with brain fever, headache, vomiting, less positive signs. Auxiliary examination: EEG abnormality 92.3%; cerebrospinal fluid pressure increased, abnormal leukocyte 75.6%. Conclusion The peripheral blood leukocyte count, electroencephalogram, cerebrospinal fluid, cranial CT and other auxiliary examination have early diagnostic significance. The main brain disease to take comprehensive treatment, high-dose gamma globulin can effectively inhibit the progression of the disease and improve prognosis.