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目的分析儿童急性小脑共济失调的临床特征及复发危险因素。方法收集急性小脑共济失调235例患儿病例资料,整理其临床特点、个人信息资料,并进行随访。从个体因素、临床特征及既往病史分析该病复发的危险因素。结果本组患儿中179例有前驱感染史,其中126例为呼吸道感染;125例有肠道手术史;39例复发患儿中25例有肠套叠整复术病史。214例主要临床表现为急性起病、站立及行走不稳,预后良好。有肠套叠整复术病史患儿急性小脑共济失调复发率高于无此病史患儿(36.2%vs.8.4%)(P<0.05)。结论 235例患儿急性小脑共济失调的主要临床特征是急性起病、站立及行走不稳,肠套叠整复术史是其复发的危险因素。
Objective To analyze the clinical characteristics of children with acute cerebellar ataxia and risk factors for recurrence. Methods A total of 235 children with acute cerebellar ataxia were collected, their clinical features and personal information were collected and followed up. From the individual factors, clinical features and past medical history of the disease risk factors for recurrence. Results 179 cases of this group of children with a history of prodromal infection, of which 126 cases of respiratory tract infection; 125 cases of intestinal surgery history; 39 cases of recurrent children with intussusception in 25 cases. 214 cases of the main clinical manifestations of acute onset, standing and walking unstable, good prognosis. The recurrence rate of acute cerebellar ataxia in children with history of intussusception was higher than that without this history (36.2% vs 8.4%) (P <0.05). Conclusions The main clinical features of acute cerebellar ataxia in 235 children are acute onset, standing and unstable walking, and the history of intussusception is the risk factor of recurrence.