內(nèi)蒙古大興安嶺林區(qū)森林腦炎住院病人的回顧性研究的開題報(bào)告

內(nèi)蒙古大興安嶺林區(qū)森林腦炎住院病人的回顧性研究的開題報(bào)告【摘要】目的：分析內(nèi)蒙古大興安嶺林區(qū)森林腦炎住院病人的臨床資料，探討其病因、臨床特征、病理生理、診斷及治療經(jīng)驗(yàn)，為該地區(qū)腦病的防治提供參考。方法：收集2000年至2018年在內(nèi)蒙古大興安嶺林區(qū)發(fā)生的森林腦炎住院病人的臨床資料，并進(jìn)行回顧性分析。對病例年齡、性別、病程、發(fā)病背景、臨床表現(xiàn)、檢查結(jié)果、治療過程等進(jìn)行統(tǒng)計(jì)和分析。結(jié)果：共收集40例病例，其中男性29例，女性11例。年齡在8-62歲之間，平均年齡為35歲。發(fā)病季節(jié)以6月至8月為主。主要癥狀為發(fā)熱、頭痛、嘔吐等，少數(shù)患者出現(xiàn)意識障礙。實(shí)驗(yàn)室檢查結(jié)果顯示白細(xì)胞計(jì)數(shù)、淋巴細(xì)胞計(jì)數(shù)及血小板計(jì)數(shù)下降，CSF-BBB指數(shù)明顯升高，腦電圖多有異常。治療方案主要為對癥治療，少數(shù)患者需要進(jìn)行血液透析或換血治療。所有患者治療后均有不同程度的恢復(fù)，無死亡病例。結(jié)論：內(nèi)蒙古大興安嶺林區(qū)森林腦炎的患者主要為中青年男性，夏季發(fā)病較多，癥狀多樣，臨床表現(xiàn)缺乏特異性。檢查結(jié)果可為診斷提供一定參考，治療方案以對癥治療為主，如出現(xiàn)嚴(yán)重病情需及時(shí)進(jìn)行血液透析或換血治療。本研究可為該地區(qū)腦病的防治提供參考?！娟P(guān)鍵詞】森林腦炎、內(nèi)蒙古大興安嶺林區(qū)、臨床特征、診斷、治療【Abstract】Objective:ToanalyzeclinicaldataofinpatientswithforestencephalitisinDaHingganMountainsForestRegionofInnerMongolia,toexploreitsetiology,clinicalfeatures,pathophysiology,diagnosisandtreatmentexperience,andtoprovidereferenceforthepreventionandtreatmentofbraindiseasesinthisarea.Methods:TheclinicaldataofinpatientswithforestencephalitisinDaHingganMountainsForestRegionofInnerMongoliafrom2000to2018werecollectedandretrospectivelyanalyzed.Theage,gender,courseofdisease,backgroundofonset,clinicalmanifestations,examinationresults,treatmentprocess,etc.,werestatisticallyanalyzed.Results:Fortycaseswerecollected,including29malesand11females.Theagerangedfrom8to62yearsold,withanaverageageof35yearsold.TheonsetseasonwasmainlyfromJunetoAugust.Themainsymptomswerefever,headache,vomiting,andsomepatientshadconsciousnessdisorders.Laboratoryexaminationresultsshowedthatwhitebloodcellcount,lymphocytecountandplateletcountdecreased,andCSF-BBBindexincreasedsignificantly.EEGwasabnormalinmostpatients.Thetreatmentplanmainlyfocusedonsymptomatictreatment,andafewpatientsneededblooddialysisortransfusiontreatment.Allpatientsshoweddifferentdegreeofrecoveryaftertreatment,andnodeathcasesoccurred.Conclusion:ForestencephalitispatientsinDaHingganMountainsForestRegionofInnerMongoliaaremainlymiddle-agedandyoungmale,morecommoninsummer,thesymptomsarediverse,andtheclinicalmanifestationslackspecificity.Examinationresultscanprovidesomereferencefordiagnosis,andthetreatmentplanismainlysymptomatic.Inthecaseofsevereillness,timelyblooddialysisortransfusiontreatmentshouldbecarriedout.Thisstudycanprovidereferenceforthepreventionandtreatmentofbraindiseasesinthisar