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目的分析小儿重症手足口病合并脑炎、脑干脑炎的磁共振成像(MRI)临床特点。方法回顾性分析68例重症手足口病合并脑炎或脑干脑炎患儿的临床MRI检查结果。结果 68例患儿单发24例,多发44例,多发率相对较高。检查发现皮层及下部、桥脑延髓区、基底节-丘脑受累。39例并发脑干脑炎的患儿中5例累及脊髓全长,9例累及颈髓,颈髓受累率较高。35例并发脑炎患儿多有受累现象,病灶清晰。全组患儿MRI检查均未见占位效应,且未见大脑中线结构移位现象。结论 MRI检查重症手足口病合并脑炎、脑干脑炎患儿有特殊表现,可作为临床诊疗依据。
Objective To analyze the clinical features of magnetic resonance imaging (MRI) in children with severe HFMD complicated with encephalitis and brainstem encephalitis. Methods The clinical MRI findings of 68 children with severe HFMD complicated by encephalitis or encephalitis were analyzed retrospectively. Results 68 cases of children were single in 24 cases, multiple in 44 cases, the incidence is relatively high. Examination found that the cortex and lower pontine pons, basal ganglia - thalamus involvement. Five of the 39 children with encephalitis encephalitis had full-length spinal cord involvement, 9 had cervical cord involvement, and a high rate of cervical spinal cord involvement. 35 cases of children with concurrent encephalitis and more involvement, clear lesions. MRI examination of the whole group of children did not see the placeholder effect, and no shift of the midline structure of the brain phenomenon. Conclusion MRI examination of severe hand-foot-mouth disease with encephalitis, children with brainstem encephalitis have special performance, can be used as clinical diagnosis and treatment basis.