论文部分内容阅读
我院于1960～1982年收治隐球菌性脑膜炎12例,男7例,女5例,年龄12～50岁,除2例尸检后方确诊外,余起病至确诊27天～124天,平均53天。12例分别误诊为结核性脑膜炎4例,散发性脑炎3例。颅内占位性病变5例,其中2例还作了后颅凹探查。经确诊后用放线菌酮洽疗1例,余均经二性霉素B及大蒜素治疗。除1例及时确诊治愈外,余因确诊较晚死亡8例,自动出院3例。隐球菌脑膜炎早期除需及时作脑脊液常规墨汁涂片或培养外,由于囊肿或肉芽肿形成,往往需反复多
In our hospital from 1960 to 1982, 12 cases of cryptococcal meningitis, 7 males and 5 females, aged 12 to 50 years, with the exception of 2 cases of post-mortem diagnosis, the remaining onset to the diagnosis of 27 days to 124 days, the average 53 days. 12 cases were misdiagnosed as tuberculous meningitis in 4 cases, sporadic encephalitis in 3 cases. Intracranial space-occupying lesions in 5 cases, of which 2 cases were made after the exploration of the skull. After diagnosed with actinomycetes Qiaocai in 1 case, more than two amphotericin B and allicin treatment. In addition to a timely diagnosis and cure, I died later diagnosed in 8 cases, 3 cases were discharged automatically. Cryptococcal meningitis in addition to the timely addition of conventional cerebrospinal fluid ink smear or culture, the cyst or granuloma formation, often repeated