两种临床常用评分系统和神经系统相关检查对小儿重症病毒性脑炎预后评估的研究进展

Research progresses of clinical scoring system and nervous system related examination in the prognosis evaluation of severe viral encephalitis in children

重症病毒性脑炎(SVE)是儿童常见的重症神经系统感染性疾病之一,其后遗症发生率及死亡率均较高,及时进行预后评估,进而早期干预减少后遗症及死亡的发生对疾病诊治意义重大。本文总结近几年利用格拉斯哥昏迷评分量表(GCS)、小儿危重病例评分法(PCIS)、脑电图及头颅CT/MRI对重症病毒性脑炎进行预后评估的研究,复习相关文献并综述,着重对上述方法联合进行疾病预后评估的可行性作初步探讨。

Severe viral encephalitis(SVE)is one of the most common severe infectious diseases of the nervous system in children.It has a high incidence of sequelae and mortality.It is of great significance for the diagnosis and treatment of the diseases to evaluate the prognosis in time,and then early intervention to reduce the incidence of sequelae and death.This paper reviewed and summarized the effects of Glasgow coma scale(GCS),pediatric critical illness score(PCIS),electroencephalography and head CT or MRI on prognosis assessment for SVE in children.The feasibility of using the above methods to evaluate jointly for the prognosis of SVE in children was discussed emphatically and initially.