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目的通过报道少见的儿童视神经脊髓炎病例,引起同行对该病的认识和重视。方法对儿童视神经脊髓炎病例4例进行回顾性分析并文献复习。结果经过临床物理检查及仪器辅助检查,确诊4例病儿为视神经脊髓炎病例。结论本病临床少见,临床上有遇到(1)轻重程度不等的横贯性脊髓炎表现;(2)急性对称性或非对称性视神经炎表现;(3)一般无视神经和脊髓以外的临床征象;(4)病程多呈单相性的患儿,应警惕本病的可能,本病死亡率高,重症患者可死于急性期或复发后加重,死因多为呼吸肌麻痹或肺及尿路感染。应尽早发现,对可疑患者应进行全面的体格检查,综合分析,权衡利弊,掌握足够的证据后以期得到早期诊断与早期治疗。
Objective To report the rare case of optic neuromyelitis in children, arousing their cognition and attention to this disease. Methods Four cases of optic neuromyelitis in children were retrospectively reviewed and reviewed. Results After clinical physical examination and laboratory examinations, 4 cases were diagnosed as optic neuromyelitis cases. Conclusions This disease is clinically rare and has encountered clinically (1) transverse myelitis with varying degrees of severity; (2) manifestations of acute or asymmetric optic neuritis; and (3) general denervation of the neurological and spinal cord Signs; (4) the course of many single-phase children should be alert to the possibility of the disease, the high mortality of the disease, critically ill patients may die of acute or relapse after exacerbations, mostly respiratory muscle paralysis or lung and urine Road infection. Should be found as soon as possible, the suspicious patients should be a comprehensive physical examination, a comprehensive analysis, weighing the pros and cons, have enough evidence to get early diagnosis and early treatment.