论文部分内容阅读
目的探讨散发性脑炎患者的临床特点、早期诊断以及疾病的转归。方法回顾性分析23例符合“散发性脑炎”临床诊断标准患者的临床资料。结果23例中16例(69.6%)患者出现不同程度的意识障碍,包括意识模糊10例,昏迷5例,嗜睡1例。精神障碍2例,表现如情感淡漠、呆滞、少语、缄默、违拗、行为异常、胡言乱语、幻视等。病程中发热13例(56.5%),体温一般在37.5～39℃之间,热型多数不规则出现癫痫发作4例(17.4%)。结论散发性脑炎表现多样,其诊断应以临床症状及相关检查综合分析,而不能靠一种症状来确诊。
Objective To investigate the clinical features, early diagnosis and prognosis of patients with sporadic encephalitis. Methods Retrospective analysis of 23 cases of patients with “sporadic encephalitis” clinical diagnostic criteria in patients with clinical data. Results Of the 23 cases, 16 (69.6%) patients showed different degrees of disturbance of consciousness, including 10 cases of confusion, 5 cases of coma and 1 case of drowsiness. 2 cases of mental disorders, such as emotional indifference, sluggish, less language, silence, objection, abnormal behavior, nonsense, visual hallucinations. During the course of fever 13 cases (56.5%), body temperature is generally between 37.5 ~ 39 ℃, the majority of fever type seizures occurred in 4 cases (17.4%). Conclusions Sporadic encephalitis has various manifestations. The diagnosis should be based on clinical symptoms and related tests, but not by one symptom.