论文部分内容阅读
本文报告小儿钩体脑动脉炎18例,男15例,女3例,年龄3.5～8岁6例,10～16岁12例。临床可分为卒中型,渐进型和短暂发作型。从感染性和缺血性脑血管病的症状上来说病程又分三个期,前驱期,脑损害期和恢复期。脑损害期主要症状为偏瘫,有的患儿一侧偏瘫尚未好转时又发生另一侧偏瘫,在偏瘫中18例患儿的意识都是清楚的。在实验室检查18例均作了血清钩体凝溶试验,3例做了脑血管造影,15例作了脑电图,并对本病的病因、诊断、鉴别诊断、治疗及预后进行了讨论。
This article reports 18 children with pediatric cerebral arteritis, including 15 males and 3 females, 6 cases aged 3.5 to 8 years and 12 cases aged 10 to 16 years. Clinically divided into stroke, progressive and transient attack type. From the symptoms of infectious and ischemic cerebrovascular disease, the course of disease is divided into three phases, prodromal, brain damage and convalescence. The main symptoms of brain damage hemiparesis, hemiplegia and hemiplegia on the other side of hemiplegia has not been improved in one side, hemiplegia in 18 cases of children’s awareness is clear. Serum leptospirosis test was performed in 18 cases of laboratory examination, cerebral angiography in 3 cases and EEG in 15 cases. The etiology, diagnosis, differential diagnosis, treatment and prognosis of this disease were also discussed .