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目的分析症状不典型的儿童脑脓肿的临床特点及其诊治策略。方法回顾性分析46例脑脓肿患儿的临床表现及相关检查资料。结果临床表现有发热31例,呕吐25例,头痛21例;脓肿好发于颞叶,以单发脓肿多见;细菌培养阳性率52.4%;手术治疗24例,保守和手术治疗有效率分别为86.4%和87.5%,总死亡率8.7%。结论儿童脑脓肿的症状隐匿,头颅CT扫描有助于早期确诊,治疗方案应结合病情有所选择。
Objective To analyze the clinical features and diagnosis and treatment strategies of brain abscess in children with atypical symptoms. Methods Retrospective analysis of 46 cases of brain abscess in children with clinical manifestations and related examination data. Results Clinical manifestations were 31 cases of fever, 25 cases of vomiting, headache in 21 cases; abscess occurred in the temporal lobe, with single abscess more common; bacterial culture positive rate of 52.4%; surgical treatment of 24 cases, conservative and operative treatment were 86.4% and 87.5%, with a total mortality rate of 8.7%. Conclusion The symptoms of brain abscess in children are occult, and the head CT scan is helpful for the early diagnosis. The treatment plan should be selected according to the condition.