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本文报告了我科临床诊断的散发性脑炎141例.在介绍本病主要临床特征和脑脊液、脑电图等资科的基础上,将本病分为四种类型:局限型(4例,占29.9%).精神障碍型(39例,27.6%),意识障碍型(24例(占17%),高颅压型(36例,25.5%).治疗结果10例死亡.本文介绍了本病的临床诊断标准,并指出早期常被误诊为其它疾病,而近期又出现了诊断上的“扩大化”.为减少误诊.详细讨论了诊断上注意点,并强调了应排除颅内占位性病变、急性脑血管疾病、各种精神病、多发性硬化、钩体病脑动脉炎等.因此详细的病史,周密的全身和神经系统检查、脑电图、脑超声波、脑血管造影等检查是减少误诊的基本措施,有条件者还应进行免疫学,病毒学和病理学的检查,以达最后确诊.
In this paper, we report 141 cases of sporadic encephalitis in clinical diagnosis in our department.On the basis of introducing the main clinical features of the disease and cerebrospinal fluid, electroencephalography and other resources, the disease is divided into four types: limited type (4 cases, Accounting for 29.9%.) Mental disorder (39 cases, 27.6%), disturbance of consciousness (24 cases (17%), high intracranial pressure type (36 cases, 25.5% And pointed out that the early diagnosis is often misdiagnosed as other diseases, and the recent emergence of the diagnosis of “enlargement.” In order to reduce misdiagnosis .Discussion on the diagnosis of attention points, and emphasized the need to rule out intracranial space Acute cerebrovascular disease, various psychosis, multiple sclerosis, leptospirosis cerebral arteritis, etc. Therefore, detailed medical history, thorough systemic and neurological examination, EEG, brain ultrasound, cerebral angiography and other tests are Reduce the misdiagnosis of the basic measures, conditions should also be immunology, virology and pathological examination, in order to achieve the final diagnosis.