急性横贯性脊髓炎新诊断标准和分类的临床应用_刘占东.pdfVIP

2007 20 3 ·197 · · · 刘占东, 王得新, 张健, 谢琰臣, 张春玲, 许春玲, 薛启蓂 　　【】　　(ATM)。　 33 ATM , JohesHopkins ATM 。　(1), 6 , , (29 );(2 ), 10 ATM, 7 ATM;1 ATM。　ATM, , ATM 、。 【】　;; 【】R744.3　　　【】A　　　【】1004-1648 (2007 )03-0 197 -03 Clinicalapplicationsothenoveldiagnosticcriteriaandclassiicationoacutetransversemyelitis　LIU Zhan-dong, WANGDe-xin, ZHANGJian, eta.lDeparmtentoNeurology, BeijingFriendshipHospitalA iliatedto CapitalUniversityoMedicalScienc,eBeijing10005 0, China Abstrac:tObjective　Tostudyclinicalapplicationsothenoveldiagnosticcriteriaandclassiicationoacute transversemyelitis(ATM).Methods　Retrospectiveanalysisotheclinicaldatain33 caseswithATMwascarried outaccordingtodiagnosticcriteriaandclassiicationoATM ormulatedbyDepartmentoNeurologyoJohesHopkins Hospita.lResults　(1)Allothesecaseswereacuteonsetandcombinedeverin6 patient.sAllcasesmaniested bilateralparaparesisorparaplegia.29 caseswereinvolvedinthoraciccord.(2 )Ascomparedtothenewcriteri,a10 caseswereATMaccompaniedwithinection;7 patientswereATM relatedtomultiplesclerosi;s1 patientwasATM causedbyischemiclesion.sConclusions　ThecharacteristicsoATMareacuteonsetandcomplicatedetiology.The novelcriteriamaybehelpultodiagnosi,sdiseasenosologyandstudiesoitspathogenesis. Keywords: acutetransversemyelitis; diagnosticcriteria; classiication 　　2002 JohnsHopkins ;, (ATM) Ⅱ 18, Ⅲ ～Ⅳ, 9 , ATM , 4, ≥Ⅲ; [1] 。 , 33 ATM。 、、, 2 1　 ; 3 , 11 , 12 , 6 , 1 1.1　　 199 3 ～2005 ; 19 , 3 。 ATM 33 , 14 , 19 ; 1.3　　, 7 ～67 , (37.9 ±14 ), 30 ～50 (CMV)IgM 2 ; B 18 (54.5%); 7.6 d, 1 19 IgM 7 , Ⅰ、Ⅲ、Ⅵ 1, Ⅴ (63.7%)。 4 ;Ⅰ IgM 3 , 1.2　　,“、