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我院自1984年至1991年共收治妊娠及产后结核性脑膜炎(MT)24例,占同期住院已婚女性结核性脑膜炎患者的23.5%(24/102).农村患者占75%,多为产后发病.延误诊断率达87.5%.临床以发热、头痛为首发症状,多合并Ⅱ型肺结核及伴发颅内高压.本文对24例妊娠及产后结核性脑膜炎的临床资料进行回顾性分析,报道如下.1 临床资料1.1 一般资料:24例均系住院确诊结核性脑膜炎患者.年龄21~31岁,平均26岁.其中农民18例(75%),工人3例(12.5%),其他职业3例(12.5%).1.2 发病时间:妊娠期发病6例(25%),其中早期妊娠~中期妊娠3例,晚期妊娠3例.产后发病18例(75%),
Totally 24 cases of pregnancy and postnatal tuberculous meningitis (MT) were admitted to our hospital from 1984 to 1991, accounting for 23.5% (24/102) of married women with tuberculous meningitis in hospital during the same period. Postpartum disease.The delay diagnosis rate was 87.5% .Clinical fever, headache as the first symptom, more complicated with type Ⅱ pulmonary tuberculosis and associated intracranial hypertension.In this paper, 24 cases of pregnancy and postpartum tuberculous meningitis clinical data were analyzed retrospectively , Reported as follows.1 Clinical data 1.1 General information: 24 cases were hospitalized diagnosed tuberculous meningitis patients aged 21 to 31 years, mean 26 years old, of which 18 cases (75%) of farmers, workers (12.5%), Other occupations in 3 cases (12.5%). 1.2 Time of onset: 6 cases of pregnancy (25%), of which 3 cases of early pregnancy ~ middle pregnancy, 3 cases of late pregnancy .Postpartum onset in 18 cases (75%