论文部分内容阅读
目的探讨病毒性脑炎早期磁共振成像和脑电图表现,并对其在病毒性脑炎早期诊断中的临床价值进行比较。方法选择2008-2011年收治的病毒性脑炎患者98例的磁共振成像和脑电图表现行动态观察,并将结果与实验室检查结果进行比较。结果所有患者入院后均在短期内行磁共振成像和脑电图检查,其中磁共振成像异常50例,异常率为51.0%,78例患者出现脑电图异常,异常率为79.6%,2种方法联合诊断后异常率为95.9%,显著高于单一方法使用(P<0.05)。结论脑电图检查在病毒性脑炎早期诊断及鉴别诊断中比磁共振成像检查更具有价值,且2种方法联合使用可显著提高诊断敏感性,值得临床推广。
Objective To investigate early magnetic resonance imaging and electroencephalography of viral encephalitis and to compare their clinical value in the early diagnosis of viral encephalitis. Methods The magnetic resonance imaging and electroencephalography of 98 patients with viral encephalitis admitted in 2008-2011 were selected and their results were compared with the results of laboratory tests. Results All patients underwent MRI and EEG within a short period of time after admission. There were 50 cases of MRI abnormalities, the abnormal rate was 51.0%. EEG abnormalities were found in 78 cases. The abnormal rate was 79.6% The combined diagnosis of abnormal rate was 95.9%, significantly higher than the single method (P <0.05). Conclusion EEG is more valuable than magnetic resonance imaging in the early diagnosis and differential diagnosis of viral encephalitis, and the combined use of the two methods can significantly improve the diagnostic sensitivity and is worthy of clinical promotion.