脑脊液及颅脑CT检查在病毒性脑炎患儿诊治中的应用分析  

The applied analysis of brain CT and cerebrospinal fluid examination in the diagnosis and treatment of viral encephalitis in children

作　　者：袁立华[1] 张颖颖[1] 亓子坤 

机构地区：[1]莱芜市人民医院医学影像中心,山东莱芜271199 [2]莱芜市牛泉中心卫生院,山东莱芜271124

出　　处：《中国医学装备》2016年第5期70-72,共3页China Medical Equipment

摘　　要：目的:分析探讨病毒性脑炎患儿脑脊液及颅脑CT检查结果的特点,为临床诊治病毒性脑炎患儿提供指导。方法:选取117例病毒性脑炎患儿的脑脊液及CT检查结果进行统计,分析病毒性脑炎患儿的脑脊液及CT表现特点,比较脑脊液检查结果与CT检查结果的差异。结果:脑积液检查提示:颅内压增高为61例(占52.14%)、蛋白质>0.5 g/L为43例(占36.75%、白细胞水平升高为67例(占57.26%)、中性粒细胞升高39例(占33.33%)、淋巴细胞升高37例(占31.62%),糖浓度<3.3 mol/L17例(占14.53%)。颅脑CT诊断异常患儿为98例,其中轻度异常为21例、中度异常为57例及重度异常为20例。脑脊液检查诊断异常率为94.02%,显著高于CT检查异常率的83.76%,两者比较差异具有统计学意义(x^2=6.231,P<0.05)。结论:脑脊液检查更能敏感的反映出病毒性脑炎患儿的病情,二者联合应用可全面反映患儿病情及病灶部位情况,有利于为临床治疗提供依据。Objective：To sum up the characteristics of cerebrospinal fluid and brain CT findings of viral encephalitis in children, and provide guidance for clinical diagnosis and treatment of viral encephalitis.Methods： 117 cases of viral encephalitis were selected in our hospital and the results were analyzed by statistical analysis of cerebrospinal fluid and CT in children with viral encephalitis in order to compare the results of cerebrospinal fluid examination and CT examination.Results：Cerebrospinal fluid examination showed that the increased intracranial pressure were 52.14%（61/117）, protein〉0.5 g/L are 36.75%（43/117）, elevated white blood cell levels were 57.26%（67/117）, the neutrophils increased 33.33% （39/117）, lymphocytes increased 31.62%（37/117）, and the sugar concentration 〈3.3 mol/L are 14.53% （17/117）. Head CT in the diagnosis of abnormalities in children were 98 cases, in which 21 were mild abnormal, 57 were moderately abnormal and 20 cases were severe abnormalities. Abnormal cerebrospinal fluid diagnosis rate of 94.02% was significantly higher than the rate of CT abnormalities 83.76% and the difference was statistically significant （x2=6.231,P〈0.05）.Conclusion： The abnormal rates of CT examination in the diagnosis of viral encephalitis were higher in patients with viral encephalitis. The combination of the two examinations could be more comprehensive than that of the patients with the disease and focus. It could be benefit for clinical treatment.

关 键 词：病毒性脑炎 脑脊液 CT 

分 类 号：R816.1[医药卫生—放射医学]