论文部分内容阅读
近年来,在某些国家与地区,结核性脑膜炎的发病率有所降低,但其病死率仍高。究其原因,大多是由于诊断过晚,因而治疗开始过迟之故。本病的典型病例诊断不难,但有些病例由于临床表现很不典型,易与其它疾病相混淆。此外,在本病确诊前,滥用具有抗结核作用的抗菌素也是造成病原诊断困难的原因之一。本文就近年来国外对本病临床分型及其鉴别诊断的某些进展,作一综述。
In recent years, the incidence of tuberculous meningitis has decreased in some countries and regions, but its case fatality rate is still high. The reason is mostly due to the diagnosis too late, so the treatment started too late. The diagnosis of the typical case of the disease is not difficult, but in some cases because of the clinical manifestations are very typical, easily confused with other diseases. In addition, the diagnosis of the disease before the abuse of antibiotics with anti-TB is also one of the causes of the pathogen diagnosis difficult. This article in recent years abroad on the clinical classification of the disease and some of its differential diagnosis, make a review.