病毒性脑炎54例临床和脑电图分析

目的研究病毒性脑炎的临床特点并探讨脑电图在此病中的诊断和预后价值,以增加对病毒性脑炎的认识和深化。方法对54例病毒性脑炎患者的临床资料(主要是临床表现、脑脊液、影像学)进行整理、统计、和分析。结果 54例病毒性脑炎的发病以青壮年多见,无性别差异,常以急性起病(87.04%),多有前驱感染史(64.81%),首发症状和临床表现各异;脑电图异常率高(87.04%)、腰穿脑脊液异常(62.96%)、头颅核磁共振异常率(51.85%),头颅CT异常率(7.41%)。结论病毒性脑炎的临床表现各种各样,脑电图检查作为一种辅助手段,对此病的诊断有重要价值。

Clinical Analysis and Electroencephalogram Examination of 54 Virus Encephalitis Patients

Objective To study the clinical characteristic of virus encephalitis and the diagnosing value of electroencephalogram to virus encephalitis（VE）.Methods The clinical data（including electroencephalogram cerebrospinal fluid and imaging examination） were collected and analysed in 54 cases with VE.Results VE was commonly in youth and the middle age people,there are no difference in sexuality.64.81% had prodromal infection.The mode of onset were mostly acute or subacute（87.04%）.The initial symptom and clinical manifestation in VE were various.The abnormal rate in electroencephalograph was 87.04% and 62.96% in cerebrospinal fluid examination and 7.41% in brain X-ray computed tomography（CT） and 51.85% in magnetic resonance imaging（MRI） examination respectively.Conclusion The clinical appearance of VE is not typical.Electroencephalogram examination have higher diagnostic value to early diagnosing VE.