摘要
目的使继发脑积液的结核性脑膜炎患者颅内压迅速降低并获得治愈。方法于非优势半球的侧脑室额角行脑室引流，并向脑室内注射异烟肼１００ｍｇ加地塞米松２ｍｇ，隔日１次，重者每日１次。结果２３例患者增高的颅内压立即降至正常，其中８例脑疝者均迅速得到纠正。脑室注药使脑脊液在２～４周内恢复正常。结论脑室引流及脑室注药治疗继发脑积液的结核性脑膜炎，疗效满意。
OnjectiveTodecreaseintracranialpressurerapidlyandcurethesecondaryhydrocephalusoftuberculousmeningitis.MethodsEverycasewasdrainedatthefrontalhornoflateralventricleofnon-predominantcerebralhemisphere,injectedthemixtureof100mgisoniazidand2mgdexamethasoneintothelateralventriclethroughventriculardrainagetubeonceeverytwodaysoronceeverydayinsomese-verecases.ResultsThehighintracranialpressureof23casessuferedfromtuberculousmeningitiswereimmediatelydecreasedtonormallevel.Thesymptomsof8casescomplicatedwithbrainherniawerequicklyimproved.Thecerebrospinalfluidbecamenormalwithin2～4weeksafterlateralventricu┐lardruginjection.ConclusionsLateralventriculardrainageanddruginjectioncanobtaingoodresultandprovideanewapproachtotreatmentofsecondaryhydrocephaluscasessuferedfromtuberculous-meningitis.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
1996年第5期297-299,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
结核性脑膜炎
脑积液
引流
药物疗法
Tuberculosis,meningealHydrocephalusDrainageDrugtherapy
