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目的:分析急性脊髓炎患者的临床诊治情况。方法:对我院收治75例急性脊髓炎患者的临床资料进行回顾性分析,探讨临床诊断与治疗方法。结果:治疗后,痊愈52例,好转20例,3例未愈,无一例死亡;平均住院时间(34.9±10.5)d;37例一个月内恢复行走,25例三个月内恢复行走,13例三个月后恢复行走;48例感觉障碍消失,27例感觉障碍好转;50例膀胱、直肠与植物神经功能障碍消失,25例好转;随访2年,均未复发。结论:MRI检查是急性脊髓炎患者初期诊断的有效方法,肾上腺皮质激素的临床疗效显著,对预后有积极作用。
Objective: To analyze the clinical diagnosis and treatment of acute myelitis patients. Methods: The clinical data of 75 patients with acute myelitis treated in our hospital were retrospectively analyzed to explore the clinical diagnosis and treatment. Results: After treatment, 52 cases were cured, 20 cases were improved, 3 cases were unhealed, none died. The average length of stay was (34.9 ± 10.5) days; 37 cases recovered within one month, 25 cases recovered within three months, 13 Cases of sensory dysfunction disappeared in 48 cases, sensory disturbance in 27 cases improved; bladder, rectum and autonomic dysfunction disappeared in 50 cases, 25 cases improved; Conclusion: MRI is an effective method for the early diagnosis of acute myelitis. The clinical effect of adrenal cortex hormones is significant, which has a positive effect on the prognosis.