55例病毒性脑炎的临床特征及实验室检查

目的总结病毒性脑炎患者的临床、实验室和辅助检查特点。方法回顾性分析55例病毒性脑炎患者的临床、试验室和辅助检查资料。结果病毒性脑炎患者最常见的3个症状是头痛(64%)、精神异常(60%)和抽搐(38%),常见的3个体征是发热(85%)、巴宾斯基征(64%)和布鲁辛斯基征(49%)。实验室和辅助检查异常频率较高的3项检查是脑电图(EEG,90%)、脑脊液(CSF,78%)和磁共振成像(MRI,71%)。结论我们的资料显示病毒性脑炎的临床表现具有某些特征,EEG、CSF、MRI辅助检查对诊断具有重要意义。

Clinical features, laboratory and auxiliary examinations in patients with viral encephalitis

Objective To summarize the features of clinical,laboratory and auxiliary examinations in viral encephalitis. Methods The medical records of 55 patients with viral encephalitis were collected retrospectively and analyzed Results Three common symptoms of patients were headache (64%),emotional disturbance (60%),convulsion (38%). three common signs were fever (85%),Babinski's sign (64%),Brudzinski's sign (49%). Abnormal high frequency of the laboratory and auxiliary examinations were electroencephalogram (EEG,90%),cerebral spinal fluid (CSF,78%),and magnetic resonance image (MRI,71%). Conclusion Our data show clinical manifestations of patients with viral encephalitis were possessed of some features,auxiliary examinations of EEG,CSF,and MRI were important for the diagnosis.