重症手足口病合并脑炎患儿脑电图、脑脊液、头颅CT检查对比分析  

Comparative Analysis of EEG Examination,CSF Examination and Skull CT Examination in Children with Severe Hand-foot-mouth Disease Complicating Encephalitis

作　　者：许洁松[1] 郑娟璇 郑娟如 

机构地区：[1]汕头大学医学院第二附属医院脑电图室,广东汕头515000 [2]汕头市中心医院,广东汕头515000

出　　处：《临床医学工程》2015年第4期405-406,共2页Clinical Medicine & Engineering

摘　　要：目的探究脑电图检查、脑脊液检查、头颅CT检查等检查方式对重症手足口病合并脑炎患儿的临床诊断价值。方法对75例重症手足口病合并脑炎患儿行脑电图检查、脑脊液检查以及头颅CT检查,对比分析三种检查方式的检查结果,以鉴别三种检查方式的优劣。结果脑脊液检查异常率为90.67%,显著高于脑电图检查的78.67%和颅脑CT检查的13.33%,差异均具有统计学意义(P<0.05)。脑脊液检查误诊率和漏诊率分别为4.00%和6.67%,均显著低于脑电图检查的12.00%和16.00%以及颅脑CT检查的37.33%和52.00%,差异均具有统计学意义(P<0.05)。结论临床对重症手足口病合并脑炎的患儿采用脑电图检查、脑脊液检查以及头颅CT检查各有其优缺点,临床确诊时应选择多种方式联合检查以避免误诊、漏诊的发生,有助于临床治疗方案的制定。Objective To explore the clinical diagnostic value of EEG examination, CSF examination and skull CT examination in children with severe hand-foot-mouth disease （HFMD） complicating encephalitis. Methods 75 cases of children with severe HFMD complicating encephalitis were given EEG examination, CSF examination and skull CT examination, the results were compared and analyzed in order to identify the advantages and disadvantages of three methods. Results The abnormal rate of CSF examination was 90.67%, significantly higher than 78.67%of EEG examination and 13.33%of skull CT examination, the difference was statistical （P〈0.05）. The misdiagnosis rate and missed diagnosis rate of CSF examination were 4.00%and 6.67%respectively, significantly higher than 12.00%and 16.00%of EEG examination and 37.33%and 52.00%of skull CT examination, with statistical difference （P〈0.05）. Conclusions EEG examination, CSF examination and skull CT examination in children with severe HFMD complicating encephalitis have their advantages and disadvantages. We should choose a variety of ways to avoid misdiagnosis and missed diagnosis, which is helpful to formulate clinical treatment.

关 键 词：脑电图 脑脊液 头颅CT 重症手足口病 脑炎 

分 类 号：R725.1[医药卫生—儿科]