隐球菌性脑膜炎的临床诊断思维(附一例报告)  

Thought Patterns of Clinical Diagnoses of Cryptococcal Meningitis

作　　者：蔡建英[1] 朱纯梅 罗首其 

机构地区：[1]四川省攀枝花市第四人民医院,617061

出　　处：《中国全科医学》2009年第12期1084-1085,共2页Chinese General Practice

摘　　要：隐球菌性脑膜炎不是一个罕见病,但却是一个误诊率高的疾病。本文从一例隐球菌性脑膜炎病例的诊治过程出发,分析了此病在临床中的诊断思维。首先要遵循"常见病与多发病优先"的诊断思维原则;其次要坚持"一元化"、"个体化"原则;还要将"个体化"原则与临床及其相关基础结合;最后要不断撇弃"定势思维"习惯,保持诊断思维的活跃性。Cryptococcal meningitis(CM) is not a rare disease,but with a high rate of misdiagnoses.This paper analyzes the thought patterns of CM diagnoses in clinic through the diagnosis and treatment of 1 case.Giving priority to commonly encountered diseases is the first diagnosis thinking principle that we should follow,and then comes the unified or individual principle;we should combine the individual principle with clinic and related basis,abandon the habit of inclination thinking,and maintain the activeness of diagnosis thought.

关 键 词：脑膜炎 隐球菌性 诊断 治疗 

分 类 号：R725.194[医药卫生—儿科]