脑干脑炎的临床特征与预后分析

目的探讨脑干脑炎的临床特征及其预后的处理方法。方法选自2010年1月—2013年1月进入到该院进行治疗的脑干脑炎患者50例,对这50例患者进行影像检查,并且进行临床分析,总结脑干脑炎的临床特征及其预后处理方法。结果通过对脑干脑炎患者进行影像学检查,均能看到脑部明显病灶,并且通过神经电生理检查和腰椎穿刺检查,能够发现患者脑部异常情况,通过对患者进行及时的治疗,痊愈15例,占临床总人数的30.%。好转34例,占临床总人数的68.0%,无效1例,占临床总人数的2.0%,临床治疗的总有效率为98.0%。两组患者临床治疗的有效率差异有统计学意义（P〈0.05）。结论脑干脑炎的病因未明,推测是病毒感染后自身免疫损伤所致,及时采取治疗方法,能够提高患者的预后。

Clinical Features and Prognosis of Brainstem Encephalitis

Objective To investigate the clinical features of brainstem encephalitis and treatment for the prognosis. Methods 50cases with brainstem encephalitis admitted in our hospital from January, 2010 to January, 2013 were selected, and imaging examination was performed in the patients and the clinical analysis was carried out. The clinical features of brainstem encephalitis and the treatment for the prognosis were summarized. Results Obvious brain lesions were showed by the imaging of the patients with brain stem encephalitis, and brain abnormalities were found by neurophysiological examination and lumbar puncture. Through timely treatment, 15 cases were cured, accounting for 30%; improvement in 34 cases, accounting for 68.0%, ineffectiveness in 1case, accounting for 2.0%, the clinical total effective rate was 98.0%. The clinical treatment effective rate of the two groups of patients had statistically significance（P〈0.05）. Conclusion The etiology of brainstem encephalitis is unknown, presumably due to autoimmune damage after virus infection, timely treatment can improve the prognosis of the patients.