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目的:观察脑脊液置换术对结核性脑脊液高蛋白的治疗作用。方法:对照组16例,进行正规抗结核治疗+鞘内注药+糖皮质激素;治疗组17例,在上述治疗的基础上行脑脊液置换术。结果:治疗组脑脊液蛋白明显下降(P<0.01),无并发症发生;对照组有6例病人出现了并发症,分别为粘连性蛛网膜炎和脑积水。结论:脑脊液置换术可以降低结核性脑膜炎的脑脊液高蛋白,预防并发症的发生
Objective: To observe the therapeutic effect of cerebrospinal fluid replacement (CSF) on high protein in cerebrospinal fluid (CSF). Methods: The control group of 16 cases, regular anti-TB treatment + intrathecal injection + glucocorticoid; treatment group 17 cases, based on the above treatment of cerebrospinal fluid replacement surgery. Results: The cerebrospinal fluid protein in the treatment group was significantly decreased (P <0.01), no complications occurred; in the control group, 6 patients had complications, including adhesive arachnoiditis and hydrocephalus. Conclusion: Cerebrospinal fluid replacement can reduce cerebrospinal fluid high protein in tuberculous meningitis and prevent the occurrence of complications