急性脊髓炎46例临床分析  

Clinical analysis of 46 cases of acute myelitis

作　　者：邵文君[1] 高慧丽[1] 

机构地区：[1]河南省人民医院神经内科,郑州450003

出　　处：《中国实用医刊》2016年第17期19-21,共3页Chinese Journal of Practical Medicine

摘　　要：目的：提高对急性脊髓炎的病因、临床特征、诊断、治疗、预后的认识。方法对收治的46例急性脊髓炎患者的临床资料进行回顾性分析。结果46例急性脊髓炎患者中29例治愈，治愈率为63%；8例显效，显效率为17%；4例好转，好转率为9%；4例无效，无效率为9%，1例死亡，病死率为2%。结论急性脊髓炎大多为病毒感染引起，发病前常有上呼吸道感染症状，病变累及以颈段及颈胸段为主，表现为病变脊髓节段水平以下的肢体运动、感觉障碍及自主神经功能障碍。且脊髓损害节段长度与脑脊液蛋白量呈正相关。治疗应以糖皮质激素为主的综合疗法，并积极预防并发症，预后差异明显，本病的预后与脊髓受损范围以及程度、脑脊液蛋白量及是否早期合理治疗有关。Objective To improve the understanding of the cause,clinical characteristics, diagnosis,treatment and prognosis of acute myelitis. Methods The clinical data of 46 patients with acute myelitis were retrospectively analyzed. Results Among the 46 patients with acute myelitis, 29 cases were cured,the cure rate was 63% ;Eight cases were markedly improved,the significant effi-ciency was 17% ;Four cases were improved,the recovery rate was 9% ;Four cases were invalid,the in-efficiency was 9% ;One case died,the mortality rate was 2% . Conclusions Acute myelitis is mainly caused by the virus infection. Before the occurrence,there is often upper respiratory infection,lesions involving sections priority to neck and neck thoracic segments,for the performances of the spinal cord le-sions of the below levels hemiparesis,feeling missing and dysfunction of urinary bladder,rectum. Diag-nosis can be made from clinical manifestations,cerebrospinal fluid and MRI. Treatment should be glu-cocorticoids primarily comprehensive therapy,and actively prevent complications,the prognosis differ-ences are significant,the prognosis is correlated with spinal cord damage degree,the scope and the vol-ume of cerebrospinal fluid protein and whether early reasonable treatment.

关 键 词：急性脊髓炎 脊髓节段 治疗 预后 

分 类 号：R744.3[医药卫生—神经病学与精神病学]