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目的:探讨柯萨奇B组病毒(CVB)引起的神经系统病变的临床特征。方法:采用酶联免疫吸附试验,用CV1~6B型抗原分别测定24例患者血清中IgM、IgG抗体。结果:24例患者中由CVB感染者11例,占45.8%,其中脑膜炎5例,脑炎3例,痛性眼肌麻痹、病毒性肌无力、单纯性头痛各1例。9例为近期感染,2例为远期感染。结论:由于CVB毒株型不同,故临床表现复杂多样,临床上应予重视。
Objective: To investigate the clinical characteristics of Coxsackie B virus (CVB) -induced neurological diseases. Methods: Serum IgM and IgG antibodies of 24 patients were tested by enzyme-linked immunosorbent assay (ELISA) and CV1-6B antigen respectively. Results: Among the 24 patients, 11 cases were infected by CVB, accounting for 45.8%, including 5 cases of meningitis, 3 cases of encephalitis, 1 case of painful ophthalmoplegia, viral myasthenia and simple headache. Nine cases were recent infections and two cases were long-term infections. Conclusion: Due to the different strains of CVB strains, the clinical manifestations are complex and diverse and should be taken seriously in clinical practice.