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1、结核性脑膜炎62例住院治疗临床研究【摘要】目的总结住院结核性脑膜炎(简称结脑)患者的治疗情况,进一步提高诊疗水平。方法对1997~2005年我所住院收治的62例结脑病例进行分析。结果结脑患者占总住院患者的2.7%,其发病年龄青少年占48.4%(30例),出现症状至就诊时间平均为37.5d;合并脑外结核占64.5%,结核中毒症状明显的平均占87.1%,头痛占93.5%,发热占88.7%,颈强占85.5%,呕吐占79.0%,伴有意识障碍及神经症状的占56.5%;高颅压占78.6%,脑脊液检查符合结脑阳性反应的平均占87.5%;经抗结核、降颅压、激素、脑
2、细胞活化剂等综合治疗,好转出院的占87.1%,病情恶化死亡占6.5%。结论结脑的预后取决于抗结核治疗的早期、以及诊疗方法正确与否有关。因此,今后要加强对结核病健康促进工作的同时,提高医务人员的诊疗水平。【关键词】结核;结脑;早期诊断治疗62casesoftuberculousmeningitisin-patienttreatmentclinicalanalysisWUHong-mei.YanbianTBPreatmenton&TreatmentReseaechInstitute,Yanji133000,China【Abstract】Objectiv
3、eTohospitalizedtuberculousmeningitis(theknotbrain)patients,furterimprove11thediagnosisandtreatment.MethodsIn1997~2005,Itreatedthepatientfor62casesofcolorectalcasesofcereralanalysis.Results:encephalopathyknotofpeopleaccountedfor2.7%ofthetotalin-pa-tients,theincidenceofyoungster
4、sagaaccountedfor64.5%,tuberculosispoisningsymp-toms,theincidenceofyoungstersageaccountedfor64.5%,tubrculosispoisoningsymp-toms,theaverageAccountedfor87.1%,accountingfor93.5%headache,feveraccountedfor88.7%,occupying85.5%neck,vomitingaccountedfor79.0%,withdisturbanceofcon-scious
5、nessandneurologicalsymptomsaccountedfor56.5%;intracranialhypertensionaccountedfor78.6%,inlinewithcerebrospinalfluidexaminationofbrainnode-positiveaccountforanaverageof87.5%;bytheanti-tuberculosis,reducedintracranialpressure,hormones,braincellsactivateda-genttherpy,aturnfortheb
6、etterAccountedfor87.1%ofthehospital,whoseconditionhaddeteri-oratedanddeathaccountedfor6.5%.ConclusionTheprognosisoftuberculousmeningitisweredecidedbythe11methodsofcorrectorwrongoftheearlystageofantitubertherapy.Therefor,thepromotingworkofhealthoftuberculousdiseasewillbeenhance
7、dsimultaneously,thelevelsofmedicalpersonnelsofdiagnosisandtherapywillbeincreased.【Keywords】Tuberculosis;Brainknot;Earlydiagnosisandtreatment结核性脑膜炎是神经系统结核病常见的类型,也是肺外结核中的重症结核病。现将我所1997年1月至2005年11月间收治的62例结核性脑膜炎病例进行分析。1资料与方法1.1一般资料九年间我所收治2303例结核患者中结脑62例,占2.7%。其中男35例,占56.5%;女27例,占4
8、3.5%。年龄最小3岁,最大81岁。0~14岁的4例,占6.5%;15~35岁的26例,占41.9%;36~45岁的14例
