摘要
目的：回顾分析我院收治的疱疹病毒性脑炎（ＨＶＥ）与非疱疹病毒性脑炎的不同临床特点，以期达到早期诊断、早期治疗，减少死亡率，降低致残率。方法：回顾性分析。结果：ＨＶＥ患者的主要临床表现以精神症状、意识障碍为主，其脑电图与ＣＴ（ＭＲＩ）的改变亦有特殊性，在疾病早期，脑电图和脑脊液即出现异常改变。结论：对发热并伴有脑部症状的病患者以及突发的意识障碍和单（或）伴发的精神症状患者应高度怀疑疱疹病毒性脑炎，行脑脊液ＨＳＶ－ＩｇＧ检查，诊断一旦确定，即行阿昔洛韦治疗。
Objective: This study concentrates on a retrospective analysis of the clinical characteristics of herpes viral encephalitis (HVE) and non - herpes viral encephalitis (NHVE) for the purpose of achieving early diagnosis and early treatment, and decreasing mortality Methods: Retrospective analysis. Results: The major clinical manifestation of the HVE patients were dysphrenia symptomn and disturbance of consciousness. The changes of their electroencephalogram (EEG) and CT were found specific. At the early stage, the changes of EEG and cerebrospinal fluid (CSF) were found abnormal. Conclusion: There is a high probability of HVE among the patients of cerebral disease with high temperature, of acute disturbance of consciousness and of simple dysphrenia symptom. CSF HSV - IgG is recommended. Once the diagnosis is positive, acyclovin should be applied.
