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目的探讨儿童病毒性脑炎的临床表现、治疗方法及预后。方法回顾性分析89例病毒性脑炎患儿的临床资料。结果 89例病毒性脑炎患儿以发热、头痛、呕吐为主要临床表现,脑脊液检查阳性率较高。89例中治愈69例,好转16例,4例转上级医院,无死亡病例。少数遗留脑积水、下肢功能障碍等后遗症。结论儿童病毒性脑炎的脑脊液检查较脑电图、脑CT检查阳性率高。临床确诊后及时给予抗病毒、对症治疗预后较好。个别患儿可能遗留神经系统后遗症。
Objective To investigate the clinical manifestations, treatment and prognosis of viral encephalitis in children. Methods The clinical data of 89 children with viral encephalitis were retrospectively analyzed. Results 89 cases of viral encephalitis in children with fever, headache, vomiting as the main clinical manifestations, cerebrospinal fluid examination was positive. Of 89 cases, 69 cases were cured, 16 cases improved, and 4 cases were transferred to superior hospitals without any deaths. A few left hydrocephalus, lower limb dysfunction and other sequelae. Conclusion Children with viral encephalitis cerebrospinal fluid examination than the EEG, brain CT examination positive rate. Anti-virus given in time after clinical diagnosis, symptomatic treatment better prognosis. Individual children may leave nervous system sequelae.