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成人结核性脑膜炎(简称结脑)发病率仍较高。结脑治疗的成败关键在于早期诊断,早期治疗。为提高结脑早期诊断率,降低死亡率,现将我院1952年～1986年各科所遇误诊的20例结脑病人加以分析。其中院外误诊16例(占80％),院内误诊4例(占20％)。误诊为上感5例,神经性头痛4例,伤寒3例,治疗肺结核中发生3例,急性尿潴留、急性肾盂肾炎2例,病毒性脑膜炎1例,颅内占位性病变1例,阑尾炎1例。误诊天数:最短7天,最长100天,平均39.9天。
Adult tuberculous meningitis (referred to as knot brain) incidence is still high. The key to the success or failure of tuberculosis treatment is early diagnosis and early treatment. To improve the early diagnosis of tuberculous meningitis and reduce mortality, now in our hospital from 1952 to 1986, misunderstanding of the subjects encountered in 20 cases of tuberculosis patients were analyzed. Among them, 16 were misdiagnosed outside the hospital (80%) and 4 were misdiagnosed (20%). Misdiagnosed as a sense of the top five cases of sensory headache in 4 cases, 3 cases of typhoid fever in tuberculosis in 3 cases, acute urinary retention, acute pyelonephritis in 2 cases, 1 case of viral meningitis, intracranial space-occupying lesions in 1 case, Appendicitis in 1 case. Misdiagnosis days: the shortest 7 days, the longest 100 days, an average of 39.9 days.