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急性播散性脑脊髓炎,常继发于麻疹、水痘、腮腺炎及接种狂犬病、牛痘等疫苗以后。可发生神经元毁坏和血管周围组织水肿、坏死。其临床症状与病毒性脑炎相似,易误诊。今将我院所见5例报道如下。临床资料:5例中男3例、女2例。年龄3～12岁。原发病为麻疹者3例,水痘1例,种痘后1例。主要症状与体征为排尿困难、抽搐,可有尿失禁、失明。四肢肌张力增高,有者减低。CSF多正常,EEG中度异常。预后为2例治愈,3例好转。典型病例:女,5岁,因抽搐、失语1周于1980
Acute disseminated encephalomyelitis, often secondary to measles, chickenpox, mumps and vaccination rabies, vaccinia and other vaccines later. Neuronal damage can occur and perivascular tissue edema and necrosis. Its clinical symptoms and viral encephalitis similar to misdiagnosis. This hospital will see 5 cases reported below. Clinical data: 5 males in 3 cases, 2 females. Age 3 to 12 years old. The primary disease was measles in 3 cases, chicken pox in 1 case, 1 case of pox. The main symptoms and signs of dysuria, convulsions, may have incontinence, blindness. Extremity muscle tension increased, some reduce. CSF more normal, moderate EEG abnormalities. The prognosis was 2 cases cured, 3 cases improved. Typical cases: female, 5 years old, convulsions, aphasia for 1 week in 1980