首页|36例急性脱髓鞘脑病患者临床观察

36例急性脱髓鞘脑病患者临床观察

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目的::对我院收治的36例急性脱髓鞘脑病病例进行回顾性分析,总结疾病特点及治疗效果,希望为临床诊治提供参考。方法:2012年1月至2014年3月期间性脱髓鞘脑病病例36例均行脑脊液、脑电图、头颅 MRI CT 诊断。结果:36例患者脑脊液检查有16例显示正常(44.4%),20例显示异常(55.6%)。脑电图检查8例(22.2%)为广泛性重度异常,16例(44.4%)有广泛性中度异常,12例(33.3%)有广泛性轻度异常。36例患者治疗总有效率为77.8%(23/36)。结论:急性脱髓鞘脑病的临床多表现为脑神经损伤及脑实质损害症状,脑电图及影像学诊断具有较好的指导作用,治疗方面应综合实施减轻炎性反应和免疫抑制。
objective: 36 cases of acute demyelinating encephalopathy cases of our hospital were retrospectively analyzed and sum-marized characteristics of disease and treatment effect, hope to provide reference for clinical diagnosis and treatment. Methods: between January 2012 and March 2014 during sex demyelinating encephalopathy in 36 cases of cerebrospinal fluid, eeg and head CT MRI diag-nosis. Results: 36 patients had 16 cases showed normal cerebrospinal fluid examination (44.4%), 20 cases showed abnormal (55.6%). Eeg examination 8 cases (22.2%) is a generalized severe abnormalities, 16 cases (44.4%) have extensive moderately abnormal, 12 cases (33.3%) had extensive mild abnormalities. 36 patients treatment the total effective rate was 77.8% (23/36). Conclusion: the clinical manifestations of the cranial nerve injury more acute demyelinating encephalopathy and parenchymal damage symptoms, electroencephalogram (eeg) and imaging diagnosis has good guidance, comprehensive treatment should be implemented to reduce inflammatory reaction and im-mune suppression.

acute demyelinating encephalopathydexamethasonemethyl prednisolonewere retrospectively analyzed

张文龙

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湖南省郴州市第一人民医院中心医院 423000

急性脱髓鞘脑病 地塞米松 甲泼尼龙 回顾性分析

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(1)
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