以“腹痛、发热”为首发症状的病毒性脑炎脑电图分析

The EEG analysis with the symptoms headed by ＂abdominal pain, fever＂ of viral encephalitis in children

目的探讨脑电图对以“腹痛、发热”为首发症状的病毒性脑炎患儿的早期诊断及预后评价的应用价值。方法对150例以“腹痛、发热”为首发症状的拟诊病毒性脑炎患儿进行治疗前后的脑电图分析。结果异常脑电图117例，正常脑电图33例，脑电图异常率为78％，表现为弥漫性或局限性慢波增多，有2例患儿颞区出现痫样放电。对症治疗1—2周后，117例异常脑电图有107例恢复正常，另10例明显改善。结论脑电图检查有助于对以“腹痛、发热”为首发症状的病毒性脑炎早期诊断、对症治疗以及预后评估。

Objective To discuss the value of EEG in early diagnosis and prognosis appraisal of children with the symptoms headed by ＂abdominal pain ferer＂ take the ＂abdominal pain,fever ＂ as the first symptoms of viral encephalitis. Methods 150 cases of ＂abdominal pain, fever＂ as the first symptom diagnosed of viral encephalitis children were chosen for the EEG analysis before and after treatment. Results EEG abnormalities 117 cases, 33 cases of normal. The EEG abnormality rate of abnormality is 78%, showed diffuse or localized slow - wave number. There are two groups of children with temporal epileptiform discharges occur. There are 107 cases of abnormal EEG returned to normal and another 10 cases significantly improved in the 117 cases after symptomatic treatment of 1 - 2 weeks. Conclusion The EEG inspection is help with ＂abdominal pain, fever ＂ as the first symptoms of viral encephalitis in children with early diagnosis, symptomatic treatment and prognosis.