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[目的]探讨小儿病毒性脑炎的临床特点。[方法]对某院2008年1月～2009年12月收治的96例病毒性脑炎患儿的临床资料进行回顾性分析。[结果]96例患儿治愈出院76例,遗留后遗症17例(智力障碍10例,运动障碍5例,继发性癫痫2例),死亡3例(多脏器功能衰竭2例,脑疝1例)。脑电图异常率为91.7%(88/96),明显高于脑脊液、头颅CT和MRI,差异有统计学意义(P﹤0.05)。[结论]小儿病毒性脑炎早期临床表现无特异性,发病无明显季节性,起病前上呼吸道感染为最常见症状,脑电图对早期诊断和预后评估具有重要参考价值,应结合临床表现、脑脊液和MRI综合诊断分析。
[Objective] To investigate the clinical features of pediatric viral encephalitis. [Methods] The clinical data of 96 children with viral encephalitis admitted to our hospital from January 2008 to December 2009 were analyzed retrospectively. [Results] Sixty-six children were cured and discharged from hospital with 17 cases of sequelae (10 cases of mental retardation, 5 cases of dyskinesia, 2 cases of secondary epilepsy) and 3 cases of death (2 cases of multiple organ failure, 1 case of cerebral hernia example). EEG abnormality rate was 91.7% (88/96), which was significantly higher than cerebrospinal fluid, head CT and MRI, the difference was statistically significant (P <0.05). [Conclusion] The early clinical manifestations of pediatric viral encephalitis are nonspecific, the incidence is not seasonal, and the upper respiratory tract infection before onset is the most common symptom. EEG has important reference value for early diagnosis and prognosis evaluation. Combined with clinical manifestations , Cerebrospinal fluid and MRI comprehensive diagnostic analysis.