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目的提高对结核性脑膜炎的认识,降低其误诊率。方法回顾性分析近10 a来16例结核性脑膜炎患者误诊过程,并结合相关文献进行分析讨论。结果误诊为上感8例,甲型H1型流感2例,肺炎1例,脑瘤2例,病毒性脑膜炎2例,化脓性脑膜炎1例。结论降低结核性脑膜炎的误诊率,关键是提高对结核性脑膜炎的认识,主动关注其流行病学变化,对发热、头痛、呕吐、可疑结核性脑膜炎的患者,及早行脑脊液检查和排查。
Objective To raise awareness of tuberculous meningitis and reduce its misdiagnosis rate. Methods The misdiagnosis of 16 patients with tuberculous meningitis in the recent 10 years was retrospectively analyzed and analyzed with relevant literatures. Results Misdiagnosed as a sense of the flu in 8 cases, 2 cases of influenza A, pneumonia in 1 case, 2 cases of brain tumor, viral meningitis in 2 cases, 1 case of purulent meningitis. Conclusions The key to reduce the misdiagnosis rate of tuberculous meningitis is to raise awareness of tuberculous meningitis and pay close attention to its epidemiological changes. In the patients with fever, headache, vomiting and suspicious tuberculous meningitis, cerebrospinal fluid examination and investigation should be conducted as early as possible .