儿童脑囊虫病15例分析

脑囊虫病是猪囊尾蚴寄生在人脑的一种疾病，多见于成人，儿童发病率低，但近年来有不少儿童脑囊虫病的报道．为提高对本病的认识，我们对我科1994-2002年收治的15例儿童脑囊虫病，进行了回顾总结，现分析如下。     

小儿脑囊虫病20例报告

本文报告２０例脑囊虫病,临床分型,脑膜脑炎型１３例（６５％）癫痫型３例（１５％）癫痫合并颅高压型４例（２０％）,囊虫免疫学检查,囊虫皮试阳性１２例（６０％）血ＥＬＩＳＡ阳性１３例（６５％）脑脊液ＥＬＩＳＡ阳性３例（３／１８例）,头颅ＣＴ扫描检查１６例,４例异常,经口服吡酮治疗近期疗效满意,结合临床,免疫学检查及头颅ＣＴ扫描提出本病的临床意义及重要性。     

小儿脑囊虫病46例临床分析

儿童寄生虫病是我国广大农村的多发病,颅内的寄生虫病也多有发生,如能及时正确地诊断治疗,其预后良好。本文对我院１９９１年～１９９８年收治的４６例小儿脑囊虫病进行分析,现报告如下。１临床资料１．１一般资料患儿４６例,男２７例,女１９例。年龄３岁～６岁４例...     

小儿脑囊虫病30例诊治分析

脑囊虫病多发于我国北方地区青壮年中 ,但小儿散发病例并不少见 ,且发病率有升高趋势。本文对近年收治的３０例小儿脑囊虫病的诊治过程进行回顾性分析 ,现报告如下。临床资料一、一般资料男１９例 ,女１１例 ;年龄２岁～３岁１例 ,～７岁１７例 ,～１４岁１２例 ;来自农村２１例 ,城镇９例 ;有不洁饮食史８例 ,常吃烧烤肉食４例 ,便绦虫节片史２例 ,食过生猪肉１例。二、临床表现全身性癫发作１０例 ,局限性抽搐１４例 ,头痛１７例 ,呕吐１１例 ,肢体功能障碍６例 ,精神症状、发热各５例 ,视力障碍３例 ,腹痛、失语各２例 ,昏迷、舞蹈症状…     

小儿脑囊虫病225例临床分析

为探讨小儿脑囊虫病的临床特点、治疗和预后,对1995年6月至2003年7月我院儿科确诊为脑囊虫病的225例住院患儿的临床资料进行分析,现总结如下。     

脑囊虫病临床与CT67例

本文对我科从1994年至今门诊和住院的67例小儿脑囊虫病临床与头颅CT进行分析．现总结如下。临床资料一、一般资料：男33例、女34例,年龄1a2mo～3a10例．～6a22例,～9a20例,～14a15例。城市18例．农村49例。食生猪肉史24例,均有吃生凉拌菜史,否认食米猪肉史。均否认有绦虫节片排出史。二、诊断依据：1．癫痫样发作、颅内压增高及神经系统症状排除其他神经系统器质性疾病者。2．头颅CT检查发现有肉芽肿或典型脑囊虫病灶。3．血和（或）脑脊液囊虫酶联试验阳性。三、临床表现：1．癫痫型：癫痫发作为首发症状者55例（82．1％）。其中全…     

吡喹酮、阿奇霉素联合治疗儿童脑囊虫病50例

目的　观察吡喹酮、阿奇霉素 (prasiquantel)联合治疗儿童脑囊虫病的疗效以及治疗过程中的不良反应。方法　给予临床确诊的脑囊虫病 5 0例患儿口服吡喹酮 2 0mg (kg·d) ,10d一疗程 ,共行 3个疗程 ;阿奇霉素 10mg (kg·d) ,每日 1次 ,每疗程连续服用 3d。观察临床症状、影像学及实验室检查结果 ,根据疗效评定标准 ,计算有效率。结果　 5 0例痊愈 33例 ,显效 16例 ,进步 1例 ,有效率98% ;随访 2年 ,未见明显异常。结论　吡喹酮、阿奇霉素联合治疗脑囊虫病近远期疗效佳 ,且副作用较少。     

22-三体综合征2例报告

No abstract available     

Acute lacrimal abscess in infancy: a report of 22 cases

Twenty-two cases of acute lacrimal abscess in infancy seen between 1959 and 1976 have been presented. Twelve of them had more han one attack at the time of reporting to this hospital. Initial treatment of the condition was medical, utilizing local and systemic antibiotics. If this did not produce a prompt response, incision and drainage of the abscess was done. The cases showed a preponderance of infections by mixed organisms. In three cases, blocked lacrimal passages opened up spontaneously while on medical treatment. In the remaining 19 cases, probing in an attempt to remove the obstruction in the nasolacrimal duct was performed as soon as the acute inflammation was controlled. Reprobing was needed in nine cases. Only two cases eventually required surgery to achieve a cure. The study indicates that early probing is successful in a high percentage of cases of acute lacrimal abscess including those coming with recurrent attacks.     

Sub-tentorial cerebral abscesses in children; a report of 22 cases

Twenty-two cases of sub-tentorium cerebral abscesses were observed in children. The first clinical symptoms were those of intracranial hypertension, disorders of consciousness, specially somnolence, fever and low general condition. Focal neurological signs were frequent but appeared later. A cerebral abscess should be suspected when such symptoms occur in children with heart disease or with respiratory infection. Simple investigations like examination of the fundi, X-ray of the skull and EEG give valuable clues. In case of such a clinical picture, lumbar puncture is useless and often dangerous. The best diagnostic test is a cerebral scintigram.     

22-三体综合征1例报告

<正>患儿男,1 d,因生后发现无肛门伴进乳差1 d入院。患儿系第6胎第2产,产程发动后因母瘢痕子宫选择性剖宫产娩出,足月出生,出生体重3.1 kg。否认宫内窘迫及生后窒息史,羊水量多,I度污染。产前3 d行产检发现有脐带绕颈1周,胎盘无异常。生后哭声弱,皮肤红润,Agpar评分不详。生后家长发现患儿无肛门,自行给予进乳2次后均出现呕吐,呕吐物为乳汁,进乳欲望差。病程     

Nonimmune hydrops fetalis: report of 22 cases including three siblings.

Twenty-two cases of nonimmune hydrops fetalis (NIHF) seen over a three-year period are described. Eight cases were associated with major congenital anomalies, seven cases with minor anomalies or other disease entities, and seven idiopathic cases. The overall mortality rate was 50%, greatest in those cases complicated by major anomalies. The clinical problems commonly encountered in management of these patients are reviewed, and include prenatal detection, perinatal asphyxia, disseminated intravascular coagulopathy, fluid and electrolyte imbalance, and respiratory difficulty. A review of the literature for those entities found in association with NIHF is also included. The case studies of three consecutive siblings with NIHF born to the same parents are briefly analyzed.     

The ocular pathology of trisomy 22: report of two cases and review

Two cases of full trisomy 22 with the associated gross and microscopic pathology are reported. These cases demonstrate the typical craniofacial and organ system anomalies previously reported in trisomy 22 but also exhibit uveal colobomas that, within the spectrum of chromosome 22 anomalies, are usually restricted to the so-called "cat eye" syndrome. The attendant microscopic ocular findings represent, the best of our knowledge, the first such report in the literature.     

Ring chromosome 22: a case report.

A three year old girl with ring chromosome 22 is described. The clinical findings include epicanthus, flat nasal bridge, hypertelorism, long eye-lashes, lymphoedema, hypoplastic toe nails, hydrocephalus and muscular hypotonia. Speech and language development is delayed. At three years the child begins to walk.     

儿童赖特综合征22例临床分析

目的 分析总结儿童赖特综合征(RS)的临床特征.方法 2002年8月-2008年9月我院风湿科共收治RS患儿22例,对其临床特征进行回顾性分析.结果 22例患儿中,男19例,女3例.年龄4～14岁,平均10.7岁,其中8岁以上的20例.家族史中有强直性脊柱炎2例,炎性下腰痛和未分化脊柱关节病4例,银屑病2例.均发病于每年6至9月份,10例发病前1个月内有腹泻.21例有发热.20例发生结膜炎,1例合并色素膜炎.12例发生尿道炎,3例仅尿检异常.关节炎主要累及下肢大关节,多为非对称性少关节炎,9例出现附着点炎.19例男性中有10例出现旋涡状龟头炎.普遍有白细胞、中性粒细胞、血小板、血沉、C反应蛋白、免疫球蛋白及补体C3的增高.类风湿因子均阴性,HLA-B27阳性率72.7%.非甾体抗炎药和柳氮磺吡啶是基本治疗药物.14例使用了环磷酰胺(总量0.6～2.0 g),其中4例联用了甲氨蝶呤.4例加用了肾上腺皮质激素.1例合并色素膜炎的患儿使用了环孢素.多数患儿在6个月内完全缓解.结论 儿童RS是一种并不少见的反应性关节炎,临床特征与成人不尽相同,预后较好.