31例非典型结核性脑膜炎临床疗效观察  

Clinical observation in 31 cases of atypical tuberculous meningitis

作　　者：周勇[1] 吴美蓉[1] 陈华[1] 陈兆辉[1] 

机构地区：[1]武汉市医疗救治中心,湖北武汉430000

出　　处：《临床肺科杂志》2011年第9期1396-1397,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的总结非典型结核性脑膜炎(结脑)的诊断方法,提高临床认识,避免误诊,及早治疗。方法结合临床表现、脑脊液、影像学检查以及免疫学,回顾性分析31例非典型结脑临床资料。结果 31例患者经临床表现、脑脊液、影像学及免疫学,临床诊断结脑,给予诊断性抗结核治疗,30例恢复正常好转出院,1例自动出院。结论对非典型结脑的患者应反复行脑脊液及头部核磁共振检查。排除其他颅内感染性病变,尽早做诊断性抗结核治疗,避免病情加重减少并发症的发生。Objective A summary of diagnostic methods for atypical tuberculous meningitis（TBM） in order to improve the clinical understanding and avoid misdiagnosis and begin early treatment.Methods Clinical manifestations,cerebrospinal fluid（CSF）,radiological examination and immunology were analysed retrospectively in 31 cases of atypical tuberculous meningitis.Results Thirty-one patients were clinical diagnosis of TBM based on clinical datas,CSF,imaging signs as well as immunology studies which giving diagnostic antituberculous treatment,most patients,conditonwere improving and discharged.Conclusion Patients with atypical tuberculous meningitis should be examined by cerebrospinal fluid and brain MRL repeatedly in order to exclude other intracranial infections.Diagnostic antituberculous treatment should be done as soon as possible to prevent exacerbations and reduce the risk of complications.

关 键 词：非典型 结核性脑膜炎 诊断性抗结核治疗 

分 类 号：R529.3[医药卫生—内科学]