Clinical analysis of 86 patients with acute disseminated encephalomyelitis

DENG Qiang

您当前的位置：

首页 >

文章列表页 >

Clinical analysis of 86 patients with acute disseminated encephalomyelitis

更新时间：2024-01-17

- Clinical analysis of 86 patients with acute disseminated encephalomyelitis
- Journal of Chongqing Medical University Issue 8, Pages: 874-876(2007)
- 作者机构：
  
  达州市中心医院神经内科,四川,635000
- 作者简介：
- 基金信息：
- DOI：
  CLC： R744
- Published：2007，
扫描看全文
[1]邓强.急性播散性脑脊髓炎86例临床特点分析[J].重庆医科大学学报,2007(08):874-876.

DENG Qiang. Clinical analysis of 86 patients with acute disseminated encephalomyelitis. [J]. Journal of Chongqing Medical University (8):874-876(2007)
[1]邓强.急性播散性脑脊髓炎86例临床特点分析[J].重庆医科大学学报,2007(08):874-876. DOI：

DENG Qiang. Clinical analysis of 86 patients with acute disseminated encephalomyelitis. [J]. Journal of Chongqing Medical University (8):874-876(2007) DOI：

摘要

目的:进一步阐明急性播散性脑脊髓炎（ADEM）的临床特点及诊治方法。方法:回顾分析86例ADEM住院患者的一般临床资料、病变情况、常见辅助检查及治疗与预后转归情况。结果:患者发病年龄多见于儿童和青壮年

急性起病

易于复发

常见诱因包括急性上呼吸道感染、疫苗接种、麻疹、风疹、水痘、流行性腮腺炎、猩红热等

实验室检查中脑脊液可出现免疫活球蛋白增高

受累部位包括脊髓、小脑、大脑白质、脑干等

其它辅助检查如影像学、电生理、免疫学检查等可协助诊断

运用糖皮质激素治疗效果确切。结论:结合临床特点、神经电生理、脑脊液免疫学及影像学检查等

临床确诊较为准确

及时恰当的治疗对预后极为重要。

Abstract

Objective:To elucidate the clinical features of acute disseminated encephalomyelitis

as well as its diagnosis and treatment.Methods:The general clinical manifestations

lesion locations

the results of cardinal ancillary investigations

and treatment as well as prognosis of 86 ADEM patients were comprehensively analyzed.Results:ADEM mainly occurred in children

young and middle-aged people.Their onsets were relatively acute.The upper respiratory tract infection and vaccination

measles

german measles

chickenpox

mumps

scarlet fever were the main predisposing factors.The immunoglobin in CSF increased.Spinal cord

cerebellum

cerebral medullary substance and brain stem were often involved.Imaging investigations

electrophysiology and immunology were helpful for diagnosis.The administration of glucocorticoid was effective.Conclusion:In addition to clinical features

neuroelectrophysiology

CSF immunology and imaging investigations altogether greatly aid clinical definite diagnosis.It is important to treat the patients in time and properly for the better prognosis.

关键词

急性播散性脑脊髓炎临床分析

Keywords

Acute disseminated encephalomyelitisclinical analysis

references

Views

281

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Clinical analysis of 158 children with ovarian cysts

Clinical analysis of 30 cases of erythroderma

The bone marrow studies of 13 children with myelodysplastic syndrome(MDS)

Clinical analysis on 78 cases of typhoid fever and paratyphoid fever

Nosocomial pulmonary fungal infection in respiratory patients: a clinical study

Related Author

Cheng Xinran

Yan Li

Gou Peng

Ge Liyuan

Gong Chunzhu

Li Hui

LU Lingling

et al

Related Institution

Department of Pediatric Endocrinology，Genetics，and Metabolism，The Affiliated Women’s and Children’s Hospital，School of Medicine，University of Electronic Science and Technology of China · Chengdu Women’s and Children’s Central Hospital

Department of Hematology, College of Pediatrics, Chongqing Medical University

重庆医科大学儿科学院血液科

Department of Infections Diseases,College of Clinical Medicine,Chongqing Medical University

重庆医科大学临床学院感染科

⁰