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目的:通过对18例儿童单纯疱疹病毒性脑炎检查方法诊断符合率的对比分析,评估常规检查方法在基层医院的可靠性和实用性。方法:常规检查:根据神经系统的临床表现,做脑脊液压力检测及脑脊液常规生化、脑电图、头颅CT和/或MRI检查。同时做病原学检查:HSV抗原或HSV检测,以HSV抗原或HSV检测结果为临床诊断标准,二种方法对比分析。结果:常规检查方法早期诊断15例,诊断符合率83.33%。讨论:在基层医院应用常规检查方法早期诊断儿童单纯疱疹病毒性脑炎具有实用性和较好的可靠性。
OBJECTIVE: To evaluate the reliability and practicability of routine examination in primary hospitals by comparing and analyzing the coincidence rates of 18 cases of herpes simplex encephalitis in children. METHODS: Routine examination: CSF pressure and routine cerebrospinal fluid biochemistry, EEG, CT and / or MRI were examined according to the clinical manifestations of the nervous system. At the same time do etiological examination: HSV antigen or HSV test to HSV antigen or HSV test results for the clinical diagnostic criteria, the two methods of comparative analysis. Results: 15 cases were diagnosed by routine examination method, the diagnostic coincidence rate was 83.33%. Discussion: The early diagnosis of herpes simplex virus encephalitis in children’s hospitals using routine examination methods is practical and reliable.