内蒙古大兴安岭林区森林脑炎住院病人的回顾性研究的开题报告

内蒙古大兴安岭林区森林脑炎住院病人的回顾性研究的开题报告【摘要】目的：分析内蒙古大兴安岭林区森林脑炎住院病人的临床资料，探讨其病因、临床特征、病理生理、诊断及治疗经验，为该地区脑病的防治提供参考。方法：收集2000年至2018年在内蒙古大兴安岭林区发生的森林脑炎住院病人的临床资料，并进行回顾性分析。对病例年龄、性别、病程、发病背景、临床表现、检查结果、治疗过程等进行统计和分析。结果：共收集40例病例，其中男性29例，女性11例。年龄在8-62岁之间，平均年龄为35岁。发病季节以6月至8月为主。主要症状为发热、头痛、呕吐等，少数患者出现意识障碍。实验室检查结果显示白细胞计数、淋巴细胞计数及血小板计数下降，CSF-BBB指数明显升高，脑电图多有异常。治疗方案主要为对症治疗，少数患者需要进行血液透析或换血治疗。所有患者治疗后均有不同程度的恢复，无死亡病例。结论：内蒙古大兴安岭林区森林脑炎的患者主要为中青年男性，夏季发病较多，症状多样，临床表现缺乏特异性。检查结果可为诊断提供一定参考，治疗方案以对症治疗为主，如出现严重病情需及时进行血液透析或换血治疗。本研究可为该地区脑病的防治提供参考。【关键词】森林脑炎、内蒙古大兴安岭林区、临床特征、诊断、治疗【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