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目的探讨早期预测病毒性脑炎预后的因素。方法回顾性分析178例病毒性脑炎患儿的临床资料及实验室检查结果 ,观察其与预后相关性。结果患儿年龄及意识状态、癫痫、精神症状、肢体障碍、巴宾斯基征、脑电图及脑CT或MRI异常在不同预后组间比较差异均有统计学意义(P<0.05)。结论年龄小、意识状态、精神症状、癫癎发作时间、巴宾斯基征阳性、肢体障碍以及脑电图异常程度、影像学所见的病灶范围等是影响小儿病毒性脑炎预后的主要因素。
Objective To explore the prognostic factors of early viral encephalitis. Methods Retrospective analysis of 178 cases of viral encephalitis in children with clinical data and laboratory tests to observe the prognosis. Results There were significant differences in the age and consciousness status, epilepsy, psychiatric symptoms, limb disorders, Babinski sign, EEG and brain CT or MRI abnormalities among different prognostic groups (P <0.05). Conclusions The main factors that influence the prognosis of pediatric viral encephalitis are young age, mental status, epileptic seizure time, positive Babbitts sign, limb disorders and the extent of EEG abnormalities. .