摘要
目的总结及探讨小儿结核性脑膜炎的诊断方法。法对61例诊断为结核性脑膜炎的患儿的临床方资料进行回顾分析。果小儿结核性脑膜炎、临床表现复杂误诊率高及误诊原因多样。论结脑的诊断要特别结结慎重,除了详细询问病史,尤其是结核病史及与结核患者密切接触史外,还要进行脑脊液、全胸片、PPD试验,头颅CT等各种必要检查;在接诊具有颅内感染征状体症的病者,要高度警惕结核性脑膜炎。
Objective To summarize and discuss the diagnostic method of infantile tuberculosis meningitis.Methods The clinical datas of 61 infantile patients diagnosed as tuberculosis meningitis are analyzed retrospectively.Results Infantile tuberculosis meningitis has complicated clinical manifestation, high rate of misdiagnosis and various reasons of misdiagnosis.Conclusion It should be very prudent to diagnose tuberculosis meningitis.Apart from careful enquiry about the medical history,in particular, the history of tuberculosis and history of the close contact with patients suffering from tuberculosis meningitis,the test about the cerebrospinal fluid,the entire chest X-ray film and PPD,the necessary check of head CT,should be carried out.We should maintain sharp vigilance over tuberculosis meningitis when diagnosing the patients with the symptom of intracranial infection.
出处
《国际医药卫生导报》
2004年第24期35-36,共2页
International Medicine and Health Guidance News
关键词
小儿
结核性脑膜炎
诊断
Infant Tuberculosis meningitis Diagnosis