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目的探究儿童重症病毒性脑炎的诊断与治疗方法。方法 60例重症病毒性脑炎患儿,对其临床表现、头颅影像、脑电图、脑脊液常规检查等进行回顾性综合分析。结果 60例患者中25例痊愈,25例好转但留有后遗症(10例出现舌肌活动差,语言表达不清,5例伴有智力障碍,10例右肢留有轻度偏瘫),6例放弃治疗出院,4例死亡。结论儿童重症病毒性脑炎临床表现多样,早期诊断中枢神经系统感染性疾病和及时的治疗是治疗成功的关键所在。而脑电图是早期诊断的的重要手段,值得临床推广应用。
Objective To investigate the diagnosis and treatment of severe viral encephalitis in children. Methods Sixty children with severe viral encephalitis were retrospectively analyzed for their clinical manifestations, cranial imaging, electroencephalogram and cerebrospinal fluid routine examination. Results Of the 60 cases, 25 cases were cured, 25 cases improved but sequelae were present (10 cases had poor tongue muscle activity, unclear verbal expression, 5 cases with mental retardation, 10 cases left hemiplegia on the right limb) and 6 cases Give up treatment was discharged, 4 patients died. Conclusion The clinical manifestations of severe acute encephalitis in children are diverse. Early diagnosis of central nervous system infectious diseases and prompt treatment are the keys to successful treatment. The EEG is an important means of early diagnosis, it is worthy of clinical application.