小儿病毒性脑炎86例临床分析

目的 探讨小儿病毒性脑炎的诊断及治疗方法.方法 对86例小儿病毒性脑炎的临床表现、辅助检查及治疗方法和治疗效果做回顾性分析.结果 小儿病毒性脑炎大多于2～3周完全恢复.脑脊液检查、头颅MRI、脑电图（EEG）有助于病毒性脑炎的诊断.综合治疗基础上分别合用激素、干扰素、静脉注射用丙种球蛋白（IVIG）疗效好.结论 小儿病毒性脑炎病程呈自限性.确诊主要靠脑脊液检查.激素、干扰素、IVIG值得临床推广应用.

Clinical analysis of 86 infantile viral encephalitis

Objective To study the diagnosis and treatment of infantile viral encephalitis. Methods The clinical manifestations,auxiliary examination,different therapeutic and effects in 86 infants with viral encephalitis were retrospectively analyzed. Resuits Most infantiles viral encepnalitis completely recovered themselves in two or three weeks. It was helpful to the diagnosis of viral encephalitis with the examination of cerebral spinal fluid , MRI and EEG on the skull. There was a good effect to use the hormone , interferon and IVIG on the base of the combined therapy differently. Conclusion The process of infantile viral encephalitis is selflimited. Final diagnosis depends on the examination of cerebral spinal fluid. It is worth extending to clinical use of the hormone, interferon and IVIG.