儿童脑脓肿43例临床分析  

Clinical analysis of 43 children with brain abscesses

作　　者：蔡嘉琳[1] 吴洁[1] 鲍克容[1] 

机构地区：[1]上海第二医科大学附属新华医院小儿神经内科,上海200092

出　　处：《中国实用儿科杂志》2007年第7期540-541,共2页Chinese Journal of Practical Pediatrics

摘　　要：目的通过对43例儿童脑脓肿病例的分析,进一步认识该病的临床特点。方法回顾上海第二医科大学附属新华医院小儿神经内科1994—2006年就诊的43例儿童脑脓肿的临床表现、致病因素、实验室检查、影像学表现和治疗结果,进行分析。结果临床表现:发热26例(60.5%)、抽搐22例(51.2%)、头痛18例(41.9%)、呕吐15例(34.9%)。先天性心脏病是儿童脑脓肿最常见的致病因素(22例,51.2%),其次为原因不明(12例,27.9%)。有影像资料的共40例,其中合并有先天性心脏病的20例。儿童脑脓肿发生部位以额叶、顶叶较为多见,额叶为20例(50%)、顶叶为15例(37.5%);在非先天性心脏病的脑脓肿患儿以单个脓肿多见为15例(75.0%),而先天性心脏病的脑脓肿患儿中则以多发性脓肿多见为12例(60.0%)。结论儿童脑脓肿的临床表现具有多样性,影像学检查对于脑脓肿的诊断有重要意义。Objective To identity clinical features of brain abscesses in children. Methods A retrospective study was performed to analyze the data of 43 such patients, Results The main clinical symptoms were fever （60, 47% ） . seizures （51.16% ） .headache （41.86%）and vomiting （34. 88% ）. Congenital heart disease was the most common predisposing factor. Frontal and apical lobe were common site involved. Solitary abscess was found in 75% of the cases without congenital heart disease. Multiple abscess was found in 60% of the cases with congenital heart disease. Conclusion Clinical presentations of brain abscesses in children were various, Computed tomography and magnetic resonance imaging are essential tools for making a diagnosis of brain abscesses.

关 键 词：儿童 脑脓肿 临床表现 

分 类 号：R72[医药卫生—儿科]