26例急性脊髓炎临床分析

Clinical Analysis on 26 Cases with Acute Myelitis

目的 :探讨急性脊髓炎的治疗方法及影响其疗效的因素。方法 :收集临床确诊的急性脊髓炎26例 ,全部以激素治疗为主 ,用氢化可的松100～400mg静脉滴注 ,每日一次 ,10～14日后减量改为口服强的松或地塞米松10～30mg静脉滴注 ,7～14日后渐减量改为口服强的松维持。结果 :治愈4例 ,显效6例 ,好转8例 ,无效6例 ,死亡2例 ,治愈好转率为69 %。结论 :常规激素对免疫性疾病治疗有效 。

Objective: To probe into the therapeutic methods for acute myelitis and the probable affected factors on it. Methods: 26 cases who were diagnosed as acute myelitis were collected in this paper. All the cases were treated by corticoid. 100 to 400 mg of cortisone were given intravenously once a day for 10 to 14 days in the beginning and then 10 to 30 mg of prednisone or dexamethasone took the place of cortisone to be administered intravenously for 7 to 14 days. The prednisone or dexamethasone was finally changed to be given orally after 7 to 14 days and the administered dosage gradually decreased at the same time. Results: Four cases were cured, six cases showed a prominently curative effect, eight cases were better than before, six cases showed no effect and one case died. The curative and effective rate reaches 69%. Conclusions: The conventional treatment by corticoid shows effective to some immunity-related diseases, but the effect is limited.