我们自１９９１年以来应用脑脊液冲洗置换术治疗结核性脑膜炎３０例，疗效显著，现报告如下：１资料与结果１．１病例选择按照全国统一标准诊断［１］，选择有明显结核病接触史，早期结核中毒表现，脑膜刺激症状及典型的脑脊液的改变，即使未找到结核杆菌，亦应考虑结核性脑膜 We have applied CSF irrigation replacement therapy in 30 cases of tuberculous meningitis since 1991, the effect is significant, are as follows: 1 Materials and Results 1.1 Case Selection In accordance with the national standard diagnosis [1], choose to have a clear history of exposure to tuberculosis, Early tuberculosis poisoning, meningeal irritation and changes in the typical cerebrospinal fluid, even if not found in Mycobacterium tuberculosis, tuberculous meninges should also be considered