60例急性病毒性脑炎的临床分析

An analysis of 60 patients with acute viral encephalitis

目的 评价急性病毒性脑炎的诊断与治疗。方法 收集 1993～ 2 0 0 1年 6月的住院病案 60份 ,就临床症状、神经体征、周围血白细胞计数和分类、脑脊液、脑电图、脑CT检查 ,以及单用激素组和激素 +抗病毒毒药组之间的疗效关系进行分析。结果 本组病毒性脑炎可分为六种临床类型 :精神异常 ;持续性剧烈头痛伴呕吐 ;强直 -阵挛性抽搐 ;持续性意识障碍 ;脑神经损害、失语、偏瘫 ;小脑性共济失调。前三型最为常见 ,并且三型之间的临床现象有相互穿插出现的现象。经统计学处理 ,单用激素组与激素 +抗病药物组之间的疗效无显著性差异。结论 急性病毒性脑炎为一种自限性疾病 ,但在没有病毒学检查的情况下 。

Objective To evaluate the diagnosis and treatment of acute viral encephalitis. Methods Clinical symptoms, neurological signs the counting and classification of leukocytes of the peripheral blood, CFS, EEG, cerebral CT were analyzed in 60 hospital patients withacute viral encephalitis and the curative effect between the hormone group and the hormone plus antivirus medicine group were compared. Results Patients of viral encephalitis we examined can be classified into six clinical types as follows: a) mental abnormality; b) persistent headache accompanied with vomit; c) rigid and clinic spasm; d) continued consciousness failure; e)damage of cranial nerves, loss of speech and hemiplegia; ang; f) disorder of cerebella co-provision. The first three groups are the most common and the clinicalphenomena among them are often interreated. Statistically speaking, there is nonotable difference in the curative effect between the hormone group and the hormone plus anti-virus medicine group. Conclusion Acute viral encephalitis is a self-restricted disease, but should be differentiated fromADEM and MS in the absence of virological examination.