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目的 :对小儿腮腺炎合并脑炎的病例进行回顾性研究 ,总结临床诊治特点。方法 :按诊断标准收集 15 6例住院腮腺病毒性脑炎患儿的临床资料 ,着重分析了并发腮脑的时间、临床表现、实验室检查及预后等项目。结果 :本组病例特点为①多见于男童 ;②腮脑可发生于腮腺症状之前或缓解之后 ;③一般临床症状重、体征轻 ,伴高热者症状体征均重且病程长 ;④实验室检查无特异性 ;⑤预后好。结论 :流行性腮腺炎病毒易侵犯神经系统 ,在冬春季遇有中枢神经系统感染的患儿应注意追问腮腺炎病史及接触史 ,以免漏诊 ,误诊。
Objective: To retrospectively study the cases of mumps complicated with encephalitis, summarize the characteristics of clinical diagnosis and treatment. Methods: The clinical data of 15 6 children with parotid viral encephalitis were collected according to the diagnostic criteria. The time, clinical manifestations, laboratory tests and prognosis of concurrent parotid brain were analyzed. Results: The characteristics of this group were ① more common in boys; ② the brain can occur before or after the parotid gland symptoms; ③ general clinical symptoms, signs of light, with signs and symptoms of fever were heavy and longer duration; ④ laboratory tests No specificity; ⑤ good prognosis. CONCLUSIONS: Mumps virus can easily invade the nervous system. Patients with central nervous system infection in winter and spring should pay attention to the history of mumps and contact history so as to avoid misdiagnosis and misdiagnosis.