脑病

Along with the old aged rapidness, the attack rate of cerabral vascular disease increases year after year, especially the ischemic CVD.

随着社会老龄化进程的加快，脑血管疾病的发病率在逐年增加，尤以缺血性脑病最为多见，因此，缺血性脑病越来越引起国内外医学界的重视。

Objective: To explore the diagnostic value of EEC and CT in delayed encephalopathy after acute carbon monoxide poisoning .

目的：探讨CO中毒后迟发性脑病的EEG和脑CT特征及对本病的诊断价值。

Besides hemal sex migraine, cause the cause that have a headache a lot of, if abscess of all sorts of sexual disease, encephalitis, meningitis, head is affected inside skull; All sorts of cerebral blood-vessel pathological changes, if cerebral block, cerebral hemorrhage, arachnoid haemorrhage finishing speech, ventricle bleeds, Hypertensive Cerebral disease; A pathological change is taken inside skull, if colloid tumour mixes meningeal tumour, head,transfer tumor; All sorts of heads are traumatic if defeat of cerebral concussion, head cracks injury, putamen,issue haematoma; The waist is worn cause low skull pressure head painful; All sorts of neuralgic; The headache of disease of facial features division and infection, toxic, heatstroke and nerve function all can be caused mussily have a headache.

除了血管性偏头痛外，引起头痛的原因很多，如颅内感染性疾病、各种脑炎、脑膜炎、脑脓肿；各种脑血管病变，如脑梗塞、脑出血、蛛网膜下腔出血、脑室出血、高血压脑病等；颅内占位病变，如脑膜瘤、脑胶质瘤和转移肿瘤；各种脑外伤如脑震荡、脑挫裂伤、硬膜下血肿；腰穿引起低颅压头痛；各种神经痛；五官科疾病的头痛以及感染、中毒、中暑和神经功能紊乱均可引起头痛。

Methods the diagnosis situation of 19 cases of cryptococcal meningitis who have been confirmed from 1980 to 2004 are analysed.results there are 17 misdiagnosis cases in 19 patients, of which 7 cases are tubercular meningitis,3 are viral meningitis,2 are brain tumor,1 is cerebral edema,1 is arachnoiditis of brain and 2 are others.conclusion misdiagnosis can be discreased by promoting learning about cryptococcal meningitis, examining the doubtful patients' csf frequantly and another examinations.

对本院1980—2004年确诊的19例新生隐球菌脑膜炎病人的诊断情况进行回顾分析。结果 19例确诊前有17例被误诊，其中误诊为结核性脑膜炎7例，脑肿瘤2例，病毒性脑膜炎3例，脑水肿1例，脑蛛网膜炎1例，红斑狼疮脑病1例，其他2例。结论提高对新生隐球菌脑膜炎的认识，对可疑病人多次做脑脊液墨汁涂片检查，或其他检查，可减少误诊。

Fant by use of serial CK-BB isoenzyme measurement.

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Results According the MRI characteristric of hypoxic-ischemic encephalopath sequela:(1)The most common findings were white matter injury in 47 cases:①Periventricular leukomalacia in 23 cases;②Selective cerebral neuronal necrosis of basilar node lentiform nucleus and optic colliculus in 9 cases;③Corpus callosum damaged in 15 cases;(2)The most damaged of grey matter in 18 cases;(3)Focal or multifocal ischemic crerbral intenerate in 9 cases;(4)Diffuse crerbral injury in 5 cases.

结果 根据儿童缺血缺氧性脑病后遗症的MRI影像特点，将其分为：(1)脑白质损伤为主：47例；①脑室周围脑白质脱髓鞘、软化：23例；②基底节豆状核、视丘神经元选择性损害：9例；③胼胝体受损变薄：15例；(2)脑灰质损害为主：18例；(3)局部或多处脑软化：9例；(4)广泛脑损害：5例。

Results According the MRI characteristric of hypoxic\|ischemic encephalopath sequela:(1)The most common findings were white matter injury in 47 cases:①Periventricular leukomalacia in 23 cases;②Selective cerebral neuronal necrosis of basilar node lentiform nucleus and optic colliculus in 9 case...

结果 根据儿童缺血缺氧性脑病后遗症的MRI影像特点，将其分为：（1）脑白质损伤为主：47 例；①脑室周围脑白质脱髓鞘、软化：23 例；②基底节豆状核、视丘神经元选择性损害：9 例；③胼胝体受损变薄：15 例；（2）脑灰质损害为主：18 例；（3）局部或多处脑软化：9 例；（4）广泛脑损害：5 例。

Results and Conclusions （1）MRI is better than CT to show the lesion of cerebellar fossa and brain stem.（2）Late radiation encephalopathy may be the result of immunal response to the damage of brain tissue and blood vessel after radiotherapy（3） 18 F-FDG-PET is a effective screenage examimation to diagnosis late radiation encephalopathy.（4）To some degree,the symptoms of the patients were alleviated after therapy with dexamethasome,mannital and vitamine B,etc.Late radiation encephalopathy ought to be given priority to prevention and treated vigorously as soon as possible.

结果和结论（1）CT对鼻咽癌迟发性放射性脑病的诊断有一定价值，但MRI对后颅窝和脑干病变的显示优于CT；（2）迟发性放射性脑病可能是放疗致脑组织血管损伤后引起免疫改变的结果；（3）18-氟代脱氧葡萄糖（ 18F-FDG）-PET是诊断迟发性放射性脑病的有效的影像学检查方法；（4）本组患者经应用激素、甘露醇、多种维生素等治疗，均取得不同程度的改善。

Although classic neuroimaging features of RPLS with involvement of the posterior head regions are easily recognized, features that may generally be regarded as atypical were often present in our patients, such as significant anterior involvement, cortical lesions, recurrent RPLS episodes, foci of permanent injury, hemorrhage into lesions, and unilaterality (Figure 1). High signal intensity on T2-weighted image lesions can occur in regions other than the parieto-occipital areas, frequently involving the frontal lobes, basal ganglia, thalami, or brainstem.

可逆性后部白质脑病综合征典型的神经影像学表现为大脑后部受累，尽管这一点很早就被公认；但可逆性后部白质脑病综合征不典型的神经影像学表现，在本文的患者中则更常见，如：大脑前部明显受累、皮层出现病灶、可逆性后部白质脑病综合征再次发作、脑永久性损伤灶形成、病灶内出血、仅见单侧病灶（图1）；T2像常可于额叶、基底节区、丘脑、脑干等顶-枕叶以外的区域见高信号病灶。

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This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。