结核性脑膜炎与新型隐球菌脑膜炎的鉴别分析  被引量:4

Differential Diagnosis of Tuberculous Meningitis and Cryptoeoecus Neoformans Meningitis

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作  者:陈劲松[1] 郑建明[2] 黄天文[3] 林贵喜 姚键[1] 

机构地区:[1]广东医学院附属惠东医院,广东惠东516300 [2]福建医科大学附属闽东医院 [3]福建医科大学附属协和医院

出  处:《中外医学研究》2015年第4期12-14,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘  要:目的:分析新型隐球菌脑膜炎和结核性脑膜炎的不同临床特点。方法:对115例结核性脑膜炎和24例新型隐球菌脑膜炎患者的临床资料进行回顾性分析。结果:结核性脑膜炎患者入院时平均体温、脑脊液白细胞数量、脑脊液蛋白浓度、脑脊液葡萄糖浓度均明显高于新型隐球菌脑膜炎组患者(P<0.05)。结论:除氯化物外,新型隐球菌脑膜炎患者脑脊液各项指标均低于结核性脑膜炎。Objective:To analyze the clinical characters and prognosis of tuberculous meningitis(TBM) and cryptococcus neoformans meningitis(CNM).Method:We retrospectively analyzed the clinical data of 115 patients with tuberculous meningitis and 24 patients with cryptococcus neoformans meningitis.The relevant medical literature was reviewed.Result:Compared with cryptococcus neoformans meningitis,the average body temperature from onset to hospitalized,the quantity of cells and the level of protein and glucose in CSF of tuberculous meningitis were higher(P〈0.05), but the levels of chloride in CSF were not decreased significantly(P〉0.05).Conclusion:The available indicators in CSF of cryptococcus neoformans meningitis are lower than that of tuberculous meningitis,except the levels of chloride in CSF.

关 键 词:新型隐球菌脑膜炎 结核性脑膜炎 鉴别 

分 类 号:R529.3[医药卫生—内科学]

 

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