病毒性脑炎脑电图脑脊液改变与诊断关系研究

CLINICAL STUDY OF ABNORMAL EEG AND CHANGES OF CEREBROSPINAL FLUID IN THE DIAGNOSIS OF VIRAL ENCEPHALITIS

目的：研究病毒性脑炎首发症状、脑电图及脑脊液改变在早期诊断中的价值。方法：共观察２０９例病毒性脑炎，婴幼儿与年长儿首发症状进行比较，２０例异常脑脊液白细胞数与自身脑电图改变的比较及年长儿首发症状与脑电图、脑脊液关系。结果：病毒性脑炎早期首发症状婴幼儿以发热伴惊厥或伴意识障碍为主，年长儿以发热、头疼、呕吐、失语、颈强直、锥体束征阳性居多。脑脊液的变化与病情轻重并无平行关系，脑电图阳性率较高。结论：脑电图异常对病毒性脑炎的早期诊断具有一定的临床价值。

Objective: ST5,5BZTostudythevalueoftheinitialsymptoms,abnormalEEGandchangesofcerebrospinalfluidintheearlydiagnosisofviralencephalitis.,5HZMethod: 209caseswithviralencephalitiswereanalyzedThecomparisonoftheinitialsymptomswasmadebetweentheinfantsandchildren.ThecomparisonoftheWBCcountofabnormalcerevrospinalfluidof20casesandchangesoftheirEEGwasmade.TherelationbetweentheinitialsymptomsandEEGandchangesofcerebrospinalfluidwasevahated. Results:5,5BZFortheinitialsymptomsinthestageofviralencephalitis,theinfantsweremainlyfever,withconvulsionordisorderofconsciousnessatthesametime,thechildrenwerefever,headache,vomitingaphasia,stiffneckandpositivepyramidalsign.Thecerebrospinalfluiddidntchangewiththeseriousnessofthedisease.HigherpositiverateofabnormalEEGwasobserved.ZConclusion: AbnormalEEGisofclinicalvalueintheearlydiagnosisofviralencephalitis.