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本文对经颅脑ＣＴ检查确诊而曾被长期误诊的３４例脑肿瘤患儿临床特点分析发现小儿时期脑肿瘤临床表现多种多样，长期被误诊的主要原因是疾病早期缺乏典型神经体征（尤其是脑干部位的肿瘤）。而漫性顽固性高颅压为多数患儿共同的特征；约３０％～３５％的患儿有反复发作的惊厥症状，且有逐渐加重趋势；部分患儿伴有发热，故早期易误诊。文中强调ＣＴ等在小儿脑肿瘤诊断中的价值及脑电图在脑瘤早期诊断中的意义。提示儿科医生应警惕脑肿瘤的诊断。
In this paper, the clinical features of 34 children with brain tumors diagnosed by CT scan and long-term misdiagnosis found that the clinical manifestations of brain tumors in children are diverse. The main reason for long-term misdiagnosis is the lack of typical neurological signs in early stage of disease Brain stem tumor). Diffuse refractory high intracranial pressure for the majority of children with common characteristics; about 30% to 35% of children have recurrent convulsions symptoms, and there is a gradual increase in the trend; some children with fever, it is easy to misdiagnosis early. The article emphasizes the value of CT in the diagnosis of pediatric brain tumors and EEG in the early diagnosis of brain tumors. Tips pediatricians should be alert to the diagnosis of brain tumors.