60例脱髓鞘性脑炎的临床分析  

Clinical Analysis of 60 Cases with Demyelinatian Encephalitis

作　　者：万慧[1] 张玉生[1] 

机构地区：[1]江西医学院第一附属医院神经科,江西南昌330006

出　　处：《实用临床医学（江西）》2002年第5期57-59,共3页Practical Clinical Medicine

摘　　要：目的 :探讨临床工作中对脱髓鞘性脑炎一组疾病的诊断及治疗。方法 :收集 6 0例住院病人 ,就其临床特点、分型及疗效进行分析。结果 :大部分病人为特发性 ,男女发病相近 ,以 30～ 5 0岁年龄段多见 ;80 %为急性起病 ,影像学上病灶多于临床症状、体征 ;分型中以急性脱髓鞘性脑炎占多数 ,其次为多发性硬化症 ,同心圆性硬化 ,少有脊髓及视神经损害。结论 :临床表现提供诊断线索 ,影像学检查提供有力证据 ,急性病例占多数 。Objective: To study the diagnosis and management of demyelination encephalitis. Methods:60 cases of demylination encephalitis were analysed.Results:Most patients were attacked with idiopathic.Among them 80% of patients had an acute or subacute attack. The number of male patients was similar to that of female patients.The most age were 30～50 years.The focus in CT and MRI were more than clinical signs.The injury of spinal cord and nerves optics was very few.Conclusion:The clinical manifestation is the most important information for diagnosis. CT anneal MRI in head provide stronger support to diagnosis.The treatment with corticosteriod is effective.

关 键 词：脱髓鞘性 脑炎 诊断 治疗 

分 类 号：R744.5[医药卫生—神经病学与精神病学]