结核性脑膜炎治疗中存在的若干问题与看法  

Some opinions and problems on the treatment of tuberculous meningitis

作　　者：马艳[1] 高微微[1] MA Yau;GAO Wei-wei(Beijing Tuberculosis and Thoracic Tumor Research Institute/Clinical Center on Tuberculosis,China Center for Disease Control and Prevention,Beijing Chest Hospital,Capital Medical University,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京胸科医院、北京市结核病胸部肿瘤研究所、中国疾病预防控制中心结核病防治临床中心,101149

出　　处：《中国防痨杂志》2019年第4期371-376,共6页Chinese Journal of Antituberculosis

摘　　要：结核性脑膜炎有着较高的死亡率和致残率,是结核病最严重的类型。随着结核病呈现出高耐药率、并发HIV感染等新的流行特点,给结核性脑膜炎的治疗带来了严峻的挑战。要采取综合治疗措施提高结核性脑膜炎的治疗效果,作者就目前关于结核性脑膜炎治疗方面存在的问题,以及综合治疗方法及其合理应用等结合文献和临床经验进行论述。Tuberculous meningitis (TBM) is most serious type of TB with high mortality and disability rate. With the emergence of new epidemic characteristics of tuberculosis, such as high drug resistance rate and concurrent HIV infection, treatment of TBM faces serious challenges, and comprehensive treatment measures should be taken to improve the treatment effect of TBM. The author discussed the existing problems in the treatment of tuberculous meningitis, and the comprehensive treatment methods and their rational application combined with literature and clinical experience.

关 键 词：结核 脑膜 思考 评论 综合疗法 

分 类 号：R529.3[医药卫生—内科学]