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目的探讨脑电图(EEG)检查对判断由肺炎支原体(MP)肺炎所致神经系统损害的程度、范围及恢复期变化的意义。方法对32例肺炎支原体肺炎所致神经系统损害的患儿的临床症状、辅助检查、X线胸片报告对照EEG初查、复查结果进行分析。结果EEG中-重度异常均以中枢神经系统表现为主,且多并发2个以上脏器损害,表明EEG异常程度与多脏器损害及临床表现有一定的平行关系;出院时EEG正常率不到25%,表明出院时神经表现大都未完全恢复。结论EEG检查对肺炎支原体肺炎所致神经系统损害的程度、范围、预后判断及指导治疗均有重要意义。
Objective To investigate the significance of EEG examination in judging the degree, scope and recovery period of nervous system damage caused by Mycoplasma pneumoniae (MP) pneumonia. Methods 32 cases of children with neurological damage caused by Mycoplasma pneumoniae pneumonia clinical symptoms, laboratory examinations, X-ray chest report control EEG preliminary examination, the review results were analyzed. Results The moderate to severe EEG were mainly manifested in the central nervous system and complicated with more than two organ damage, indicating that there was a certain parallel relationship between the abnormality of EEG and the damage and clinical manifestations of multiple organ. The normal EEG rate at discharge was less than 25%, indicating that most discharged neurological manifestations are not fully restored. Conclusion EEG examination of mycoplasma pneumonia caused by the extent of nervous system damage, scope, prognosis and guidance are of great significance.