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病毒性脑炎是指由多种病毒感染造成脑实质病变,并引起一系列临床表现的感染性疾病,儿科较常见。横纹肌溶解症是由于骨骼肌破坏导致细胞内容物释放入血和从尿排出的综合征,其特征为血清肌酸磷酸激酶升高、血清肌红蛋白升高及肌红蛋白尿,常继发急性肾衰竭。国内外研究报道多种病毒性脑炎患儿可并横纹肌溶解症,且并不是很罕见,应引起临床医师的高度重视,特别是对于那些病程中出现血尿的病毒性脑炎患儿,应及早进行血清肌酸磷酸激酶、血和尿肌红蛋白的检测,以明确是否有横纹肌溶解症的可能。一旦诊断明确后,应及时进行水化、碱化等治疗,以避免急性肾衰竭的发生,从而改善患儿的预后。现就病毒性脑炎并横纹肌溶解症进行综述。
Viral encephalitis is caused by a variety of viral infections caused by parenchymal lesions and cause a series of clinical manifestations of infectious diseases, pediatric more common. Rhabdomyolysis is a syndrome that results in the release of cellular contents into and out of the urine due to the destruction of skeletal muscle and is characterized by elevated serum creatine phosphokinase, elevated serum myoglobin, and myoglobinuria, often secondary to acute Kidney failure. Domestic and foreign studies have reported a variety of children with viral encephalitis and rhabdomyolysis may be rare, and is not very rare, should attract the attention of clinicians, especially those with viral hematuria in those course of disease in children with viral encephalitis should be as soon as possible Serum creatine phosphokinase, blood and urine myoglobin test to determine whether there is the possibility of rhabdomyolysis. Once the diagnosis is clear, should be promptly hydration, alkalization and other treatment to avoid the occurrence of acute renal failure, thereby improving the prognosis of children. Now on viral encephalitis and rhabdomyolysis are reviewed.