论文部分内容阅读
对30例以肝炎综合征为主症就诊的巨细胞包涵体病患儿,经治疗后3～8年随访。患儿平均年龄5.5岁,包括经抗 CMV-IRNA 加中药治疗14人,过期麻苗加中药治疗10人,单纯中药治疗6人。随访时观察到:所有患儿的黄痘均于治疗后1年内消退,除1例外肝脾大小均恢复正常,血清 ALT正常;身高、体重、头围测量均在正常范围内,1例5岁男孩左视神经萎缩,另1例5岁男孩表现小脑共济失调伴吐字不清;23名患儿接受了智力测试,除1例明显智低外,3岁以上患儿平均 IQ 为90.58,3岁儿平均 DQ 为119;20名患儿接受了脑干听神经诱发电位(ABR)测试,其中3名异常。29例患儿尿CMV-DNA 测定,显示阳性结果9例(31%),表现了 CMV 感染长期间歇排毒的特性,但排毒与不排毒患儿的智商和 ABR 异常率并无显著差异(P<0.1)。
Thirty cases of giant cell inclusion bodies treated with hepatitis syndrome were followed up from 3 to 8 years after treatment. Children with an average age of 5.5 years, including anti-CMV-IRNA plus Chinese medicine treatment of 14 people, expired Ma Miao plus Chinese medicine treatment of 10 people, simple Chinese medicine treatment of 6 people. At follow-up, it was observed that all cases of yellow smallpox were subsided within 1 year after treatment, with the exception of 1 case the liver and spleen size returned to normal, serum ALT was normal; height, weight, head circumference measurements were within the normal range, 1 case of 5 years The left atrophy of the boy was observed in another boy with a 5-year-old boy showing unclear cerebellar ataxia. Twenty-three children underwent intellectual tests, with an average IQ of 90.58 years and 3 years The mean DQ was 119; 20 children underwent brainstem auditory evoked potential (ABR) testing, three of which were abnormal. CMV-DNA in 29 cases of children showed positive results in 9 cases (31%), showing long-term intermittent detoxification of CMV infection, but there was no significant difference in IQ and ABR abnormalities in children with or without detoxification (P < 0.1).