46例以精神障碍为首发症状的病毒性脑炎临床特点分析

目的探讨以精神障碍为首发症状的病毒性脑炎患者的临床特点及早期诊断。方法回顾性分析我院1999～2003年收治的46例以精神障碍为首发症状的病毒性脑炎患者的临床资料。结果46例患者经抗病毒治疗后，除1例起病2周后突然出现高热、昏迷的患者呈植物状态外，大多数患者预后良好。结论对以急性精神障碍为首发症状的患者，如果病前有感染、腹泻、过度疲劳、口唇疱疹等病史，在疾病的过程中出现智能减退、大小便失禁、发热、癫痫等症状，应尽快完善相关检查，动态观察病情，以明确诊断，指导治疗。

Clinical features of 46 patients of virus encephalitis with mental disorder as initial symptoms

ObjectiveTo explore the clinical features and early diagnosis of virus encephalitis with mental disorder as initial symptoms.MethodsThe materials of 46 cases of virus encephalitis with mental disorder as initial symptoms from 1999 to 2003 were analyzed retrospectively.ResultsAfter antivirus treatment, most patients had good prognosis, only one patient who had fever and coma suddenly two weeks after onset was in vegetative statement.ConclusionTo the patients beginning with acute mental disorder, if they have infection, diarrhea, over-fatigue, oral herpes before disease and exhibit intelligence retardation, incontinence of stool or urine, fever, epilepsy during disease course, it is necessary to complete relative examination and monitor the disease, so as to make sure the diagnosis and guide the treatment.