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本文对66例散发性病毒性脑炎患儿进行了临床分析,并对2例尸检情况进行了讨论。散发性病毒性脑炎患儿的临床特点是,年龄越小症状越不典型,轻微症状易被忽视,故而对一些难以解释的临床表现及治疗反应较差的病例,应反复细致,全面的(包括神经系统)进行检查,以免造成误诊。小儿散脑的诊断标准:1.起病急或亚急性。2.大部分伴有发热,部分有上感和腹泻等前驱症状。3.弥漫性脑损害症状和体征,随病程进展而加重。4.脑脊髓液有轻、中度异常或正常。5.脑电图示弥漫性异常。
In this paper, 66 cases of children with sporadic viral encephalitis were analyzed clinically, and 2 cases of autopsy were discussed. The clinical features of children with sporadic viral encephalitis are that the younger the symptoms, the less typical symptoms and the minor symptoms are easily overlooked. Therefore, some unexplained clinical manifestations and poor response to treatment should be repeated and comprehensive ( Including the nervous system) to avoid misdiagnosis. Children scattered brain diagnostic criteria: 1. onset acute or subacute. 2. Most are accompanied by fever, some have sense of prodromal and diarrhea and other symptoms. 3. Diffuse brain damage symptoms and signs, with the progress of the disease and aggravate. 4. Cerebrospinal fluid with mild to moderate abnormalities or normal. 5. EEG diffuse abnormalities.