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目的:探讨儿童脑囊虫病的诊断与治疗。方法:对27例儿童脑囊虫病的诊治过程进行临床分析。结呆:临床以癫痫和颅压增高表现多见,颅脑CT、MRI可发现脑内囊状病灶和钙化影,脑脊液及血清用ELISA方法检测囊虫抗体阳性具有确诊意义;治疗:吡喹酮总量300mg/kg口服,10天为一疗程,隔3个月行下一疗程,在治疗开始及驱虫过程中辅以地塞米松0.5~1.0mg/(kg·d),甘露醇脱水降颅压,应用抗癫痫药物。结论:结合临床行影像学与疫免学检查可确诊,治愈22例,显效4例,进步1例。
Objective: To investigate the diagnosis and treatment of cerebral cysticercosis in children. Methods: The clinical data of 27 cases of children with cysticercosis were analyzed. Results: clinical manifestations of epilepsy and increased intracranial pressure, brain CT, MRI can be found cystic lesions and calcification, cerebrospinal fluid and serum ELISA method for the detection of cysticercosis antibody positive diagnosis; praziquantel treatment: The total amount of 300mg / kg orally, 10 days for a course of treatment, the next three months for the next course of treatment, at the beginning of treatment and deworming process supplemented with dexamethasone 0.5 ~ 1.0mg / (kg · d) Alcohol dehydration reduce intracranial pressure, the application of antiepileptic drugs. Conclusion: Combined with clinical imaging and immunization examination can be diagnosed, 22 cases were cured, 4 cases markedly improved, and 1 case improved.