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目的 :研究 DEACMP的病程及预后。方法 :对 DEACMP患者 2 17例的假愈期 ,临床表现 ,病程 ,预后 ,以及头部 CT,MRI,SPECT所见进行对比分析。结果 :(1)本组病例中 ,3 0天内病情开始好转者占5 9.44 % ,3 1～ 60天者占 2 1.65 % ,>60天者占 17.97% ,总临床治愈率为 44 .7% ,有效率为 99.0 7%。 (2 )无明显假愈期患者病程长 ,预后差 ,假愈期 <14天与 >15天者之间 ,前者病程显著长于后者 ,治愈及有效率无显著差异。 (3 )假愈期头部 CT所见异常阳性率易发病 ,影像学所见与临床改善不平行 ,SPECT更能反映病情改善。结论 :DEACMP的临床病程具有显著的自限性和可恢复性
Objective: To study the course and prognosis of DEACMP. Methods: Two hundred and seventy patients with DEACMP were evaluated on the false-recurrence, clinical manifestation, course of disease, prognosis, CT, MRI and SPECT. Results: (1) In this group of patients, 5 9.44% of the patients started to recover within 30 days, 21.6% from 31-60 days, 17.97% to 60 days, and the total clinical cure rate was 44.7% , The effective rate is 99.0 7%. (2) There was no significant difference between patients with long-term and long-term prognosis, with poor prognosis, and those with more than 14 days and more than 15 days of false leave. The former had a significantly longer course of disease than the latter, with no significant difference in cure and efficiency. (3) False head The abnormal positive rate of CT seen in the head is easy to get disease. The imaging findings and the clinical improvement are not parallel. The SPECT can better reflect the condition improvement. Conclusion: The clinical course of DEACMP has significant self-limiting and recoverability