摘要
目的 探讨重症手足口病并脑干脑炎的MRI表现及临床特征。方法 收集我院2013年11月-2014年3月期间诊治的50例经过临床诊断为重症手足口病的患儿作为研究对象,均进行MRI平扫与增强扫描。结果 病灶部位及特点：影像表现有单发病灶与多灶发病,一些脑损坏病灶呈对称性分布,50例患儿共有75个病灶,其中40个在脑桥和延脑交界部位,20个病灶在脑桥和延脑交界部位并对称性朝两侧延伸,10例不对称的向两侧延伸,脑桥背后5个。结论 脑干脑炎是重症手足口病患儿极严重的并发症之一,小儿的重症手足口病并脑干脑炎的MRI呈现出一定的特征,诊治时具有高的敏感性。
Objective To investigate the MRI findings and clinical features of severe hand, foot and mouth disease and brain stem encephalitis. Methods 50 cases by the clinical diagnosis for children with severe hand, foot and mouth disease were collected in our hospital from November 2013 to March 2014 for the diagnosis and treatment as the object of study, all of them underwent plain and enhanced MRI scan. Results The lesion area and characteristics： the imaging features of the solitary lesion and multifocal disease, brain damage lesions showed a symmetrical distribution, 50 cases of children with a total of 75 lesions, 40 of them in the pons and medulla junction, 20 lesions in the pons and delayed brain junction and symmetry on both sides of the north korea extension, 10 cases of asymmetry extends to both sides, 5 cases in pons behind. Conclusion Brainstem encephalitis is one of the most serious complications of severe hand foot mouth disease in children, the MRI of children with severe hand, foot and mouth disease and brainstem encephalitis has a certain characteristics, diagnosis and treatment with high sensitivity.
出处
《中国继续医学教育》
2016年第18期52-53,共2页
China Continuing Medical Education
关键词
重症手足口病
脑干脑炎
MRI表现
临床特征
Severe hand
foot and mouth disease
Brainstem encephalitis
MRI features
Clinical features
