结核性脑膜炎45例临床分析  

Clinical analysis of 45 tuberculous meningitis cases

作　　者：任洁明[1] 

机构地区：[1]昆山市第一人民医院神经内科,江苏昆山215300

出　　处：《临床和实验医学杂志》2006年第12期1945-1946,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨结核性脑膜炎的临床特点,以提高结核性脑膜炎的早期诊断水平,从而改善患者的预后。方法对45例结核性脑膜炎的临床资料进行回顾性分析。结果45例结核性脑膜炎中以脑膜脑炎型最多,其次为脑炎型,脑脊液不典型者占17.7%(8/45),CT和/或MRI检查多数(26/45)显示有异常。结论综合分析临床表现、脑脊液、CT或MRI是早期诊断的有效方法。Objective To investigated the clinical characteristics of tuberculous meningitis to improve the early diagnostic level of tuberculous meningitis. Methods Clinical materials of 45 cases of tuberculous meningitis were analysed retrospectively. Results The most common type of tuberculous meningitis was meningitis , and encephalitis was the second. The cases with atypical cerebrospinal fluid accounted for17.7% （8/45）, The result of computerized tomography （CT） and/or magnetic resonance imaging （MRI） was mosetly （26/45） abnormal. Conclusion Comprehensive analysis of clinical manifestation, cerebrospinal fluid, CT and MRI is effective way to improve the ratio of early diagnosis.

关 键 词：结核性脑膜炎 临床分析 

分 类 号：R529.3[医药卫生—内科学]