本文選題：嬰兒　切入點(diǎn)：腦膜　出處：《中國臨床醫(yī)學(xué)影像雜志》2015年10期 　論文類型：期刊論文

【摘要】：目的:探討嬰幼兒顱內(nèi)感染磁共振增強(qiáng)腦膜強(qiáng)化方式。方法:回顧性分析95例臨床懷疑顱內(nèi)感染患兒的臨床資料和磁共振增強(qiáng)影像表現(xiàn),其中男45例,女50例,年齡1天~2歲。95例患兒均行磁共振常規(guī)平掃及T1WI增強(qiáng)掃描,腦膜強(qiáng)化分為4級(jí),確診標(biāo)準(zhǔn)為腦脊液化驗(yàn)和臨床診斷。結(jié)果:經(jīng)臨床確診病毒性腦炎33例,腦膜強(qiáng)化分級(jí)0級(jí)14例,Ⅰ級(jí)0例,Ⅱ級(jí)12例,Ⅲ級(jí)7例�；撔阅X膜炎17例,0級(jí)0例,Ⅰ級(jí)15例,Ⅱ級(jí)0例,Ⅲ級(jí)2例。結(jié)核性腦膜炎25例,0級(jí)7例,Ⅰ級(jí)0例,Ⅱ級(jí)2例,Ⅲ級(jí)16例。臨床排除感染20例。結(jié)論:嬰幼兒軟腦膜表面毛細(xì)血管豐富,因此僅憑軟腦膜輕中度的強(qiáng)化,不能作為顱內(nèi)感染的可靠征象,嬰幼兒顱內(nèi)感染早期病理改變輕微,影像表現(xiàn)也可以正常,需結(jié)合臨床確診。
[Abstract]:Objective: to explore the enhanced meningeal enhancement mode of MRI in infants with intracranial infection. Methods: the clinical data and MRI findings of 95 children with suspected intracranial infection were retrospectively analyzed, including 45 males and 50 females. All the 95 children, aged 1 day or 2 years, underwent conventional plain MRI and enhanced T 1WI. Meningeal enhancement was divided into 4 grades. The diagnostic criteria were cerebrospinal fluid assay and clinical diagnosis. Results: 33 cases of viral encephalitis were clinically diagnosed. Meningeal enhancement grade (14 cases), grade 鈪，

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