结核性脑膜炎的诊疗进展  

Advances in diagnosis and treatment of tuberculous meningitis

作　　者：汪晓凤[1] 陈南晖[1] WANG Xiao-feng;CHEN Nan-hui(Department of Infectious Diseases,Guizhou Provincial People's Hospital,Guiyang 550002,China)

机构地区：[1]贵州省人民医院感染科

出　　处：《中国临床新医学》2019年第6期687-692,共6页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：结核性脑膜炎(TBM)属于常见的肺外结核病,病情重、变化快、危害大,其发病率和病死率均较高。TBM的临床表现缺乏特异性,实验室检查灵敏度低,因此其诊断仍较困难。目前对TBM的诊断主要通过临床表现、实验室检测及影像学检查。TBM的早期诊断和及时合理治疗是改善其预后的重要手段。该文对TBM的诊断及治疗方面的研究进展进行综述。Tuberculous meningitis(TBM)is a common extrapulmonary tuberculosis.It is serious,fast changing and harmful.Its morbidity and mortality are high.The clinical manifestations of TBM are not specific,and the sensitivity of laboratory tests is poor.Therefore,its diagnosis is still difficult.At present,the diagnosis of TBM is mainly based on clinical manifestations,laboratory tests and imaging examinations.Early diagnosis and timely and reasonable treatment of TBM are important factors to improve prognosis.The advances in diagnosis and treatment of TBM are reviewed in this paper.

关 键 词：结核性脑膜炎 诊断 治疗 

分 类 号：R529.3[医药卫生—内科学]