小儿急性脊髓炎临床分析

Clinical analysis of childhood acute myelitis

目的探讨小儿急性脊髓炎的临床特点,诊断,治疗及院内感染。方法回顾我院儿科1998～2007年收治12例小儿急性脊髓炎的病因、临床表现、实验室检查结果、治疗及院内感染进行分析。结果12例患儿的主要临床表现有:运动功能障碍100%,90.2%为首发症状,感觉功能障碍占41.7%,括约肌功能障碍占83.3%,18.2%脑脊液异常,64%脊髓MRI异常,16.7%合并院内呼吸道感染,50%治愈,41.7%好转,8.3%无效。结论小儿急性脊髓炎临床表现较不典型,脑脊液、MRI检查是诊断的关键,治疗上以糖皮质激素为主的综合疗法,治疗效果好,但呼吸道院内感染率较高。

Objective： To investigate the clinical characteristics, diagnosis, treatment and nosocomial infections for Children with acute myelitis. Methods：Recalling the treatment for 12 cases of Children with acute myelitis from 1998 to 2007 with the etiology, clinical manifestations, laboratory test results, treatment and analysis of nosocomial infections. Results： The main clinical manifestations for 12 cases of Children are： motor dysfunction accounted for 100%, 90.2% for the first symptom, sensory dysfunction accounted for 41.7%, sphincter dysfunction accounted for 83.3%, 18.2% is abnormal cerebrospinal fluid, and 64 % of spinal cord MRI abnormalities, 16.7 % merged hospital respiratory infections, 50% cured, 41.7% improved, 8.3% invalid. Conclusion： Clinical manifestations for Children with acute myelitis are less typical, cerebrospinal fluid and MRI diagnosis are the key for treatment, the treatment of glucocorticoid-based combination therapy is effective, but the rate for respiratory nosocomial infection is higher.