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目的:提高对急性脊髓炎(AM)的认识。方法:建立AM的诊断标准,对我院2002/2008年收治的50例AM患者的临床资料进行回顾性分析。结果:共50例,年龄13~75岁,临床表现为病损平面以下运动、感觉和自主神经功能障碍,脑脊液正常或细胞、蛋白轻度升高,肌电图示神经源性损伤,M R I示病变水平脊髓肿胀。均接受激素、维生素、抗生素等综合治疗,其中治愈34例,好转10例和无效6例。结论:以激素为主的综合治疗可改善AM预后。
Objective: To improve the understanding of acute myelitis (AM). Methods: The diagnostic criteria of AM were established. The clinical data of 50 AM patients admitted in our hospital from 2002 to 2008 were analyzed retrospectively. Results: A total of 50 cases, aged 13 to 75 years old, the clinical manifestations of lesions below the level of movement, sensory and autonomic dysfunction, normal cerebrospinal fluid or cell, protein slightly increased, EMG showed neurogenic injury, MRI showed Lesions Spinal cord swelling. All received hormones, vitamins, antibiotics and other comprehensive treatment, of which 34 cases were cured, improved in 10 cases and ineffective in 6 cases. Conclusion: The hormone-based combination therapy can improve AM prognosis.