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目的观察和探讨采用CT检测对流行性脑炎患者进行临床诊断的应用情况和效果。方法随机选择2008年04月~2013年04月以来,我院脑科门诊收治的流行性脑炎患者43例,对他们进行CT检查,并回顾性分析临床检查的资料结果,比较、统计和研究对流行性脑炎实施CT检查的临床诊断效果和价值。结果临床分析比较显示,经过CT检查,43例流行性脑炎患者的阳性检出总符合率90.70%(39/43),其中:梗阻性脑积水、交通性脑积水的符合率均为100.0%;脑肿胀的符合率为87.5%;外部性脑积水的符合率为85.71%;低密度片状灶的符合率为83.33%;弥漫性脑水肿的符合率为80.0%。同实验检出结果相比,各症状的差异性均不明显,不存在统计学意义(P>0.05)。结论采用CT检查对流行性脑炎进行临床诊断,能够较为准确的检测出阳性患者,因而其在临床检测中具有较高的诊断价值。
Objective To observe and explore the clinical application of CT examination in patients with epidemic encephalitis. Methods From April 2008 to April 2013, 43 patients with epidemic encephalitis admitted to our department were randomly selected for CT examination and retrospective analysis of the results of clinical examination, comparisons, statistics and studies Clinical diagnosis and value of CT examination of epidemic encephalitis. Results The clinical analysis and comparison showed that the positive coincidence rate of the 43 cases of epidemic encephalitis was 90.70% (39/43) after CT examination, of which the coincidence rate of obstructive hydrocephalus and hydrocephalus was 100.0%. The coincidence rate of brain swelling was 87.5%. The coincidence rate of external hydrocephalus was 85.71%. The coincidence rate of low density foci was 83.33%. The coincidence rate of diffuse cerebral edema was 80.0%. Compared with the test results, the differences of each symptom are not obvious, there is no statistical significance (P> 0.05). Conclusion The clinical diagnosis of epidemic encephalitis using CT examination can detect the positive patients more accurately, so it has high diagnostic value in clinical examination.