63例结核性脑膜炎的临床分析  

Clinical analysis of 63 tuberculous meningitis cases

作　　者：王宇[1] 孔忠顺[2] 

机构地区：[1]重庆市肺科医院,重庆400020 [2]北京市结核病胸部肿瘤研究所,北京101149

出　　处：《中国现代医学杂志》2008年第13期1940-1942,1944,共4页China Journal of Modern Medicine

摘　　要：目的探讨结核性脑膜炎的临床特点,以提高对其诊断水平。方法回顾分析2006年1月～2006年9月在该院诊治的结核性脑膜炎(结脑)患者63例临床资料。结果63例结核性脑膜炎中脑膜脑炎型最多;多数在脑膜剌激征期;脑脊液不典型者占31.7%(20/63);头颅CT或MRI检查多数显示有脑积水(26/47)。结论综合分析临床表现、脑脊液、头颅CT或MRI检查以及试验性治疗是提高诊断率的有效方法,早期诊断与及时合理的治疗是降低致残率和死亡率的关健。[Objective] To study the clinical characteristics of tuberculous meningitis in order to improve the diagnostic level of tuberculous meningitis. [Methods] Clinical samples of 63 cases with tuberculous meningitis were retrospectively analysed in our hospital from Jan to Sep, 2006. [Results] The most common type was meningitis in 63 cases with tuberculous meningitis. The majorities of them were during the period of intracranial hypertension.The cases with atypical cerebrospinal fluid accounted for 31.1% （20/63）. Hydrocephalus （26/47） was common in CT or MRI. [Conclusion] Comprehensive clinical analysis shows that cerebrospinal fluid, CT and MRI, as well as the experimental therapy, are efficient and helpful ways to improve the ratio of diagnosis. It is important to diagnose early and to treat correctly for decreasing mortality and disability.

关 键 词：结核性脑膜炎 脑脊液 临床分析 

分 类 号：R529.3[医药卫生—内科学]