小儿病毒性脑炎预后相关因素分析  

Related Factors of Prognosis in Children with Acute Viral Encephalitis

作　　者：游锦安[1] 王明义[1] 

机构地区：[1]广东省江门市新会区人民医院儿科,529100

出　　处：《岭南急诊医学杂志》2007年第1期33-34,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨影响小儿病毒性脑炎预后的相关因素。方法:回顾性分析168例病毒性脑炎患儿的临床资料。结果:预后差的患儿意识障碍时间、发热时间、惊厥发作时间均明显长于预后好的患儿,预后差的患儿入院时多伴有惊厥、意识障碍、肢体运动障碍、颅神经麻痹及其他脏器功能损害,预后差的患儿脑脊液白细胞低于预后好的患儿,脑电图高度异常的比例高,多伴有脑CT异常及低钠血症,(P均<0.01)。结论:小儿病毒性脑炎预后差的相关因素为:意识障碍、发热、惊厥时间长,脑电图重度异常,脑脊液白细胞数低及低钠血症。Objective： To investigate the related factors influencing the prognosis of children with acute viral encephalitis. Methods： Clinical data of 168 cases of viral encephalitis were retrospectively analyzed. Results： There were significant differences in the time of impaired consciousness,fever,seizures between poor and good outcome. Seizures, impaired consciousness, motor weakness, cranial nerve paralysis and dysfunction of other organs were present at admission in children with poor outcome, and abnormal cerebrospinal fluid,the percentage of high abnormal electroencephalogram,neuroimaging changes and hyponatremiawere also present frequently in children with poor outcome, all P 〈 0.01. Conclusion： The related factors of poor outcome in children with acute viral encephalitis is： the long time of impaired consciousness, fever, seizures and high abnormal electroencephalogram, abnormal cerebrospinal fluid, and hyponatremia.

关 键 词：预后 病毒性脑炎 儿童 

分 类 号：R725.1[医药卫生—儿科]