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目的:了解小儿多发性硬化症临床特点。方法:采用回顾性调查方法,对18例患儿进行随访及临床分析。结果:18例患儿中,急性起病17例,视力障碍8例,发热7例,CT检查10例,异常7例,MRI检查6例,异常5例,18例中17例应用糖皮质激素有效,复发16例。结论:小儿多发性硬化症急性起病多见,视力障碍为突然表现,要注意与病毒性脑炎相鉴别,CT检查亦可作为诊断的一个重要手段。
Objective: To understand the clinical features of children with multiple sclerosis. Methods: A retrospective investigation was conducted in 18 children with follow-up and clinical analysis. Results: Among the 18 children, there were 17 cases of acute onset, 8 cases of visual impairment, 7 cases of fever, 10 cases of CT, 7 cases of abnormalities, 6 cases of MRI, 5 cases of abnormalities and 17 cases of 18 cases of patients with glucocorticoid Effective, recurrent in 16 cases. Conclusion: Multiple acute sclerosis in children with acute onset more common, visual impairment as a sudden manifestation, should pay attention to differentiate from viral encephalitis, CT examination can also be used as an important diagnostic tool.