摘要目的 探讨婴幼儿重症病毒性脑炎的临床特点,以期有助于早期诊断,指导治疗,改善预后.方法 对10例重症病毒性脑炎婴幼儿的临床资料进行回顾性分析.结果 婴幼儿重症病毒性脑炎以发热和神经症状起病为主,脑脊液常规检查及生化改变可不明显,脑电图和头颅影像学检查均有异常,6例留有各种神经后遗症.结论 婴幼儿重症病毒性脑炎的早期诊断应强调综合判断,脑脊液检查可以正常,脑电图有较高的辅助诊断价值.脑电图及影像学异常对预后判断有重要价值.

abstractsObjective To explore the clinical features of infants severe viral encephalitis, in order to di-agnosis and treat the patients early, and improve the prognosis of these patients. Methods Retrospectively an-alyze the clinic data of 10 infants with severe viral encephalitis. Results Fever and symptoms of brain are usu-ally the initial symptoms. The biochemical and cytologic analysis of cerebrospinal fluid are usually normal. EEG and imaging examination are usually abnormal. Conclusion The early diagnosis of the infants severe viral en-cephalitis is in relation on the history and clinical examination of the patient. EEG has important clinical value in early diagnosis. EEG and imaging examination have the important value in assess long-term outcome.