小儿急性脊髓炎61例治疗探讨

The Treatment of Sixty-one Cases with Children Acute Myelitis

目的探讨小儿急性脊髓炎的临床特点及诊治方法。方法回顾性分析我院儿科1997年11月～2008年2月收治61例急性脊髓炎患儿的临床诊治资料。结果本组61例急性脊髓炎患儿经治疗后未出现死亡病例,出院时治愈22例(36.1%),好转26例(42.6%),无效13例(21.3%),总有效率为78.7%。平均住院时间32.5d。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,治疗上采用以糖皮质激素为主的综合疗法,治疗效果良好。

Objective To discuss the clinical characteristics and diagnosis and treatment of the children with acute myelitis. Methods To analyze clinical diagnosis and treatment information of Sixty-one cases children with acute myelitis treated in our hospital from November 1997 to February 2008. Results Sixty-one cases children with acute myelopathy didn＇t appear deaths after treatment,twenty-two cases of cured discharge （36.1%）, improved Twenty-six cases（42.6% ）, null and void thirteen cases（21.3% ）,total effective rate is 78.7%. Average length of stay is 32.5 days. Conclusion Children with acute myelitis less typical clinical manifestations, cerebrospinal fluid, MRI examination is the key of diagnosis, treatment results by glucocorticoid-based combination therapy, were very good.