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结核性脑膜炎为结核病严重并发症。据症状、体征、脑脊液变化8例确诊为结核性脑膜炎病人先后两种疗法摘要如下: Ⅰ组共三例两例并发粟粒型肺结核,治疗三至八个月。疗法:每日链霉素1克肌注,雷米封300毫克分三次口服,ACTH25毫克椎管注药每周两次及支持疗法。疗效:两例枯本治愈(症状好转,脑脊液恢复)但王××后遗视神经萎缩失明.乌××××后遗口齿不清。刘××另加PAS静点肺部病灶有所吸收,脑膜炎症状未减轻抢救无效于住院91天晚死亡. Ⅱ组共五例三例并发急性血行播散性肺结核,治疗三至七个月。疗法:每日链霉素1克肌注雷米封600毫克分三次口服,氢化考的松150毫克加入5％葡萄糖内静点,20天后改强的松30毫克分三次口服,酌情40天后渐减至停药及附助治疗.疗效:五例中四例全愈,随访五年无后遗症。杨××住院治疗三月好转出院远期予后不详.
Tuberculous meningitis is a serious complication of tuberculosis. According to symptoms, signs, changes in cerebrospinal fluid in 8 cases of patients diagnosed as tuberculous meningitis has two types of therapy are summarized as follows: Ⅰ group of three cases of two cases of miliary tuberculosis, for three to eight months. Therapy: 1 g daily intramuscular injection of streptomycin, 300 mg Remy sealed orally three times, ACTH25 mg spinal injection twice a week and supportive therapy. Efficacy: Two cases of benign (symptoms improved, recovery of cerebrospinal fluid) but the king × × posterior visual atrophy blindness. Liu × × plus PAS static point of lung lesions have been absorbed, meningitis symptoms did not reduce the rescue ineffective in hospital for 91 days and died in group Ⅱ a total of five cases of three cases of acute hematogenous disseminated tuberculosis for three to seven months . Therapy: daily streptomycin 1 g intramuscularly 500 mg Remy orally administered orally three times, hydrocortisone 150 mg added to 5% glucose in the static point, 20 days after the strengthening of the loose pine 30 mg three times orally, as appropriate, gradually after 40 days Reduced to withdrawal and adjuvant therapy.Efficacy: Four cases in five cases were all cured, followed up for five years without sequelae. Yang × × Hospitalization March improved discharge to the future is unknown.