摘要
目的:分析结核性脑膜炎的临床表现、诊断和治疗特点,以提高对该病的诊治水平。方法:对2007年2月-2012年2月笔者所在防治所收治的51例结核性脑膜炎住院患者的临床资料、实验室检查结果、诊断及预后情况进行总结分析。结果:本组51例结核性脑膜炎患者临床表现以发热、头痛、呕吐为主要症状,脑脊液改变以压力、白细胞、蛋白升高,葡萄糖、氯化物降低为主。96.08%合并颅外结核。头颅CT或MRI检查异常51例。经正规抗结核治疗,恢复良好33例,恢复不理想18例,死亡2例。结论:患者的临床表现、脑脊液、头颅CT或MRI检查、是否合并颅外结核感染及正规抗结核治疗是否有效,是诊断结核性脑膜炎的重要依据;早期诊断及合理治疗可提高结核性脑膜炎的治愈率。
Objective：Analysis of tuberculous meningitis clinical manifestation,diagnosis and treatment characteristics,to improve the level of diagnosis and treatment.Method：From 2007 February to 2012 February I have treated 51 cases of tuberculous meningitis in hospitalized patients with the clinical data,laboratory test results,diagnosis and prognosis were summarized and analyzed.Result：This group of 51 cases of tuberculous meningitis patients with clinical manifestations of fever,headache,vomiting as the main symptom,cerebrospinal fluid changes with pressure,white blood cell,glucose,elevated protein;chloride to lower priority.96.08% with extracranial tuberculosis.Head CT or MRI abnormalities in 51 cases.By anti-tuberculosis treatment,33 cases recovered well,poor recovery in 18 cases,2 cases of death.Conclusion：Patients with clinical manifestations,cerebrospinal fluid,brain CT or MRI examination,whether combined extracranial tuberculous infection and anti-tuberculosis treatment is effective in the diagnosis of tuberculous meningitis,is an important basis;early diagnosis and rational treatment can improve the cure rate of tuberculosis meningitis.
出处
《中国医学创新》
CAS
2012年第28期94-95,共2页
Medical Innovation of China
关键词
结核性脑膜炎
脑脊液
诊断
预后
Tuberculous meningitis
Cerebrospinal fluid
Diagnosis
Prognosis
