新型隐球菌性脑膜炎16例分析  

Clinical analysis of 16 cases of cryptococcus neofornans meningitis

作　　者：苏斌儒[1] 郑水英[1] 

机构地区：[1]肇庆市第一人民医院神经内科,广东省肇庆526021

出　　处：《中国基层医药》2006年第3期466-467,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨部分新型隐球菌性脑膜炎的临床特点及诊断。方法采用回顾性的分析方法,对16例患者进行分析。结果16例患者均无明显恶液质表现,早期脑脊液表现为压力升高,轻度蛋白升高,需多次腰穿检查脑脊液才发现病原菌。结论新型隐球菌性脑膜炎早期症状不典型,不易发现病原菌,应多次作脑脊液检查以明确诊断。Objective To investigate the clinical characteristics and diagnosis of some patients with cryptococcus neoformans meningitis（CNM）. Methods The clinical features were analyzed and summarized for the findings of 16 CNM cases. Results The clinical cachexia manifestations were not found in the 16 CNM cases. The higher intracranial hypertension and the slight elevation of CSF protein content were found in the earlier period. The cryptococcus neoformans could be found in CSF through lots of lumbar puncture usually. Conclusion The symptom in the earlier period of cryptococcus neoformans meningitis is not typical. It is difficult to find the cryptococcus neoformans. In order to definite the diagnosis,more examinations of CSF must be done.

关 键 词：脑膜炎 新型隐球菌 脑脊液 腰穿检查 

分 类 号：R742.9[医药卫生—神经病学与精神病学]