儿童边缘性脑炎误诊误治分析12例

摘要

Objective:To investigate the clinical characteristics of children with limbic encephalitis in order to improve the accuracy of clinical diagnosis and the prognosis of children.Method:The clinical data of 12 children with limbic encephalitis were retrospectively analyzed.Results:There were 12 early misdiagnosis with hospital treatment.9 cases were misdiagnosed as viral encephalitis,one was misdiagnosed as toxic encephalopathy,one was misdiagnosed as pediatric epilepsy,one was misdiagnosed as infantile neurosis.The clinical treatment effect was poor with recurrent attacks.The final diagnosis was limbic encephalitis.After adjusting treatment plan,there were 11 cases of follow-up eusemia,one of seizures.Conclusion:The clinical manifestation of children limbic encephalitis is complex,various and easily misdiagnosed.Glucocorticoid hormone treatment effect is better.So it is important to improve the correct understanding of the disease and to improve the accuracy of early diagnosis,which plays a key role in the prognosis of the disease.%目的：探讨儿童边缘性脑炎的临床特点，旨在提高临床诊断准确率和改善患儿预后。方法：对儿童边缘性脑炎12例临床资料进行回顾性分析。结果：早期误诊患儿12例，误诊为病毒性脑炎9例，误诊为中毒性脑病1例，误诊为小儿癫痫1例，误诊为小儿神经症1例；临床治疗效果差，反复复发，最终确诊为边缘性脑炎，调整治疗方案，随访预后良好11例，留有癫痫发作1例。结论：儿童边缘性脑炎临床表现复杂，多种多样，容易误诊，糖皮质激素治疗效果较好。因此，提高对本病的正确认识，提高早期诊断正确率，对本病预后起到关键作用。