论文部分内容阅读
病毒性脑炎(VE)是由病毒直接侵袭脑实质引起的中枢神经系统感染性疾病。小儿VE的临床表现轻重不一,其临床表现、脑损伤程度及预后与病毒类型、患儿机体免疫状态等因素有关,脑脊液或脑组织病原检测是确诊VE的金标准,但受实验室条件所限尚未普遍开展,临床表现、头颅影像学、脑电图、脑脊液检查等综合分析仍是我国诊断VE的主要依据。目前,VE的针对性治疗非常有限,主要为抗病毒治疗和对症支持处理,包括维持内环境稳定、止惊、减轻脑水肿,重症也可选用甲泼尼龙和静脉用丙种球蛋白等治疗。
Viral encephalitis (VE) is a central nervous system infectious disease caused by the direct invasion of the brain by viruses. The clinical manifestations of children with VE vary in severity, its clinical manifestations, brain injury and prognosis and the type of virus, the immune status of children and other factors, cerebrospinal fluid or brain tissue pathogen detection is the gold standard for the diagnosis of VE, but by laboratory conditions Limit has not yet been generally carried out, clinical manifestations, craniography, EEG, cerebrospinal fluid and other comprehensive analysis is still the main basis for the diagnosis of VE in China. At present, VE targeted treatment is very limited, mainly for the treatment of antiviral therapy and symptomatic support, including the maintenance of stable internal environment, stop the alarm, reduce cerebral edema, severe may choose methylprednisolone and intravenous gamma globulin treatment.