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目的探讨可逆性后部白质脑病综合征的临床诊治措施。方法回顾分析24例患者的临床资料。结果本组24例患者均积极治疗原发病,针对病因进行治疗,如降压、止痉、停止使用化疗药、停止放疗及酌情使用甘露醇、速尿等脱水降颅压药物,症状与体征恢复至发病前的19例,症状与体征基本消失的6例。结论 RPLS应根据临床表现及影像学检查给予确诊,早期正确的诊治是患者康复的关键。
Objective To investigate the clinical diagnosis and treatment of reversible posterior white matter disease syndrome. Methods The clinical data of 24 patients were retrospectively analyzed. Results The group of 24 patients were active treatment of the primary disease, for the cause of treatment, such as antihypertensive, antispasmodic, stop using chemotherapy drugs, stop radiotherapy and the use of mannitol, furosemide and other dehydration reduce intracranial pressure drugs, symptoms and signs In 19 cases before the onset of symptoms, symptoms and signs disappeared in 6 cases. Conclusions RPLS should be diagnosed according to the clinical manifestations and imaging examination. The correct diagnosis and treatment at the early stage are the key points for the rehabilitation of patients.