结核性脑膜炎诊断不及时的原因是多方面的。作者总结分析了1968～1986年间所收治的一组结核性脑膜炎(简称结脑)患者,其中儿童占74.6%,青少年占6%,成人占19.4%。临床类型为:基底性脑膜炎43.3%,脑膜脑炎型49.3%,脑膜脑脊髓炎型7.4%。全组中诊断不及时(于发病2周后才确诊)的结脑患者高达61.5%。作者指出,结脑诊断延误的最常见原因之一为急性起病,伴有高热、头痛、流鼻涕等表现,而被误诊为咽峡炎、上感、病毒性感冒、肠道感染或其他病因性脑膜炎等,以此种方式起病及经过者共达47.8%,其中儿 Tuberculosis meningitis is not timely diagnosis of many reasons. The authors summarize and analyze a group of patients with tuberculous meningitis (tuberculous meningitis) from 1968 to 1986, of whom 74.6% are children, 6% are teenagers and 19.4% are adults. Clinical types were: basal meningitis 43.3%, meningoencephalitis 49.3%, meningococcal encephalomyelitis 7.4%. The diagnosis of the whole group not timely (confirmed after 2 weeks of onset) of tuberculosis patients up to 61.5%. The authors note that one of the most common causes of delayed diagnosis of tuberculosis was acute onset with fever, headache, runny nose and other symptoms that were misdiagnosed as angina, upper flu, viral infections, intestinal infections or other causes Meningitis, etc., in this way onset and passed a total of 47.8%, of which children