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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