64例小儿结核性脑膜炎临床分析  被引量:3

The clinical analysis of tuberculous meningitis in sixty-four children

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作  者:韩伟[1] 崔秀琴[1] 肖志坚[1] 李振魁[1] 

机构地区:[1]新乡医学院一附院结核内二科,河南卫辉453100

出  处:《中国民康医学》2010年第1期5-6,共2页Medical Journal of Chinese People’s Health

摘  要:目的:研究影响小儿结核性脑膜炎预后的因素分析。方法:临床确诊的结核性脑膜炎患儿64例,结合临床情况、脑脊液检查、影像学、治疗情况等进行总结、归纳。结果:早期诊断率仅34.4%,经积极正规治疗后早期患儿有效率为94.4%,中期患儿为70.4%,晚期患儿为52.6%。结论:小儿结核性脑膜炎早期诊断、治疗,预后良好,长时间误诊误治导致椎管黏连、梗阻,预后差,病残率、死亡率高。Objective :To analyze the factors which affect the prognosis of tuberculous meningitis in children. Methods:Conclude from 64 children confirmed of tuberculous meningitis, combining with clinical condition,check of cerebrospinal fluid ,medical imaging and treatment conditions. Results: Early diagnosis rate was only 34.4%. Based on positive formal treatment, the efficacy of early period sick children was 94.4% , mediumterm sick children was 70.4% and late period sick children was 52.6%. Conclusions: The prognosis is good based on early diagnosis and treatment while the prognosis is bad based on long period misdiagnosis and mistreatment and result in spinal adhesions ,obstruction and high mortality.

关 键 词:小儿 结核性脑膜炎 误诊误治 治疗效果 

分 类 号:R539.2[医药卫生—内科学]

 

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