摘要
目的探讨重症病毒性脑炎患儿预后及其相关因素探讨。方法选取重症病毒性脑炎患者40例,应用多因素以及单因素分析影响重症病毒性脑炎预后的相关因素。结果本组有12例患者治疗效果较好,28例患者治疗效果不佳;单因素结果显示,影响治疗效果的相关因素包括合并脏器损伤、意识障碍、呼吸衰竭、发热持续时间≥5 d、持续惊厥以及应激性高血糖;多因素回归分析提示呼吸衰竭、发热持续时间≥5 d、持续惊厥以及应激性高血糖是导致治疗效果不佳的独立危险因素。结论影响重症病毒性脑炎预后的独立危险因素包括呼吸衰竭、发热持续时间≥5d、持续惊厥以及应激性高血糖。
Objective To investigate the prognosis and related factors of children with severe viral encephalitis.Methods 40 patients with severe viral encephalitis were enrolled.Multivariate and univariate analysis were used to influence the prognostic factors.Results In this group,12 patients had good treatment effect,and 28 patients had poor treatment effect;single factor results showed that related factors affecting the treatment effect included combined organ damage,disturbance of consciousness,respiratory failure,fever duration≥5 d,continuous Convulsions and stress hyperglycemia;multivariate regression analysis suggests that respiratory failure,fever duration≥5 d,persistent convulsions,and stress hyperglycemia are independent risk factors that lead to poor treatment effects.Conclusion Independent risk factors for the prognosis of severe viral encephalitis include respiratory failure,duration of fever≥5 days,persistent convulsions,and stress hyperglycemia.
作者
沙帮武
SHA Bangwu(Department of Pediatrics,Jingmen Hospital of Traditional Chinese Medicine,Jingmen Hubei 448000,China)
出处
《中国继续医学教育》
2020年第24期98-100,共3页
China Continuing Medical Education
关键词
重症病毒性脑炎
呼吸衰竭
发热
惊厥
应激性高血糖
危险因素
severe viral encephalitis
respiratory failure
fever
convulsions
stress hyperglycemia
risk factors
