潘华. 重症手足口病脑脊液与脑电图89例分析[J]. 蚌埠医学院学报, 2011, 36(5): 495-497.
    引用本文: 潘华. 重症手足口病脑脊液与脑电图89例分析[J]. 蚌埠医学院学报, 2011, 36(5): 495-497.
    PAN Hua. Analysis of cerebrospinal fluid and electroencephalogram in children with severe hand, foot and mouth disease: a report of 89 cases[J]. Journal of Bengbu Medical College, 2011, 36(5): 495-497.
    Citation: PAN Hua. Analysis of cerebrospinal fluid and electroencephalogram in children with severe hand, foot and mouth disease: a report of 89 cases[J]. Journal of Bengbu Medical College, 2011, 36(5): 495-497.

    重症手足口病脑脊液与脑电图89例分析

    Analysis of cerebrospinal fluid and electroencephalogram in children with severe hand, foot and mouth disease: a report of 89 cases

    • 摘要: 目的:观察重症手足口病(hand,foot and mouth disease,HFMD)患儿入院1~2天内脑脊液(CSF)和脑电图(EEG)的结果和特点。方法:对89例重症HFMD患儿CSF进行白细胞计数、蛋白、糖和氯化物测定,并进行EEG检查。结果:重症HFMD患儿CSF基本符合病毒性脑炎CSF特点,异常率为74.16%。一般重症患儿与行呼吸机治疗的13例危重HFMD患儿在CSF细胞数及生化检测上差异无统计学意义(P>0.05)。其中57例HFMD患儿出现EEG异常。CSF异常率高于EEG。结论:有神经系统体征的重症HFMD患儿CSF和EEG异常率较高,因此宜及早联合进行CSF和EEG检查。

       

      Abstract: Objective: To observe the examination results and characteristics of cerebrospinal fluid(CSF) and electroencephalogram(EEG) in children with hand,foot and mouth disease(HFMD) within 1 to 2 days after admission.Methods: The white blood cell count,protein,sugar and chloride in the CSF of 89 children with HFMD were monitored;at the same time,EEG examination was carried out.Results: The CSF of severe HFMD conformed to that of viral encephalitis,and the abnormal rate was 74.16%.There was no significant difference in the CSF cell count and biochemical examination in cases with severe HFMD and grave HFMD receiving ventilator treatment(P>0.05).The EEG of 57 children with HFMD was abnormal.The abnormal rate of CSF was higher than that of EEG.Conclusions: There is a high abnormal rate of CSF and EEG in HFMD children with neurological symptoms,so early CSF and EEG examinations are recommended.

       

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