腮腺炎脑炎14例临床分析

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1993年8月~12月共收治腮腺炎脑炎14例,男9例,女5例;以学龄儿童为多,~3岁2例,~5岁4例,~7岁5例,~8岁2例,~9岁1例;首发症状癫痫样抽搐5例,手足抽搐3例,头痛伴呕吐10例,头痛14例,意外障碍4例,小脑性运动障碍3例,颅神经损害1例,发热头痛呕吐为主要症状;巴氏征阳性5例,颈亢10例;并发脑水肿9例,肺炎2例,心衰1例,病情危重3例,轻型5例;12例脑电图检查示弥漫异常7例,为高幅慢波,棘慢波,其中~重度异常3例,轻度异常4例;头颅CT检查2例,示脑炎改变;13例脑脊液检查蛋白(+)6例,(++)3例,正常4例,细胞数10~50 6例,糖、氯化物正常;14例病儿住院时有腮腺肿大症状9例易明确诊断,5例住院时有脑炎症状及阳 From August to December 1993, 14 cases of mumps encephalitis were treated, including 9 males and 5 females; 2 were aged 3 years, 2 were aged 3 years, 4 were aged 5 years, 5 were aged 7 years, ~ 8 Year old in 2 cases and ~ 9 years old in 1 case. The first symptom was epileptic convulsions in 5 cases, hand-foot convulsions in 3 cases, headache with vomiting in 10 cases, headache in 14 cases, accidental disorders in 4 cases, cerebellar dyskinesia in 3 cases, cranial nerve damage in 1 case , Fever headache and vomiting as the main symptom; 5 cases of positive Pap test, hyperthyroidism in 10 cases; 9 cases of cerebral edema, pneumonia in 2 cases, 1 case of heart failure, critical condition in 3 cases, 5 cases of light; 12 cases of EEG Seven patients showed diffuse abnormalities, including high amplitude slow wave, spike and slow wave, including ~ 3 cases of severe abnormality and 4 cases of mild abnormality; 2 cases of skull CT examination showed encephalitis change; 13 cases of cerebrospinal fluid examination of protein (+) 6 cases , (++) 3 cases, normal 4 cases, cell number 10 ~ 50 6 cases, normal glucose and chloride; 14 cases of sick children with parotid gland swelling in 9 cases were easily diagnosed, 5 cases were hospitalized with encephalitis Symptoms and Yang
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