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结核性脑膜炎(以下简称结脑)系常见病,近年临床不典型患者有所增加·包医一、二附院1970^-1988年入院160例中有20例在入院时未确诊本病,误诊率为此.5％。_现就其误诊20例分析如下:1病例本组病例选自入院24小时内误诊的结核性脑膜炎,误诊时何2～375天,平均27.5天。其中男9例,女11例。年龄14～56岁,平均31.5岁。误诊为散发性脑炎8例均为青年。起病急,发热、头痛、呕吐,4例有不同程度意识障碍,3例有精神症状,1例有抽搐,脑膜刺激征均阳性。4例末梢血白细胞15×10~9/L以上,中性75～87％,脑电图1例可见棘波,4例见不同程度S波或波,脑脊液压力1.77～1.94kPa之间,细胞数0.024～0.18×10~9/L之间,其中4例中性76～81％之间,3例氯化物偏低,蛋白、糖均正常。
Tuberculous meningitis (hereinafter referred to as knot brain) is a common disease in recent years, clinical atypical patients have increased · Medical First and Second Affiliated Hospital 1970 ^ - 1988 admitted to hospital 160 cases of 20 cases were not diagnosed with this disease at admission, Misdiagnosis rate is .5%. _ Is now misdiagnosed 20 cases as follows: 1 cases of this group of patients selected from within 24 hours of admission misdiagnosed tuberculous meningitis, misdiagnosis 2 to 375 days, an average of 27.5 days. There were 9 males and 11 females. Aged 14 to 56 years old, average 31.5 years old. Misdiagnosed as sporadic encephalitis in 8 cases were young. The incidence of acute, fever, headache, vomiting, 4 patients with varying degrees of disturbance of consciousness, 3 patients with psychiatric symptoms, 1 case of convulsions, meningeal irritation were positive. 4 cases of peripheral blood leukocytes more than 15 × 10 ~ 9 / L, neutral 75-87%, EEG can be seen in 1 case of spikes, 4 cases of varying degrees of S wave or wave, cerebrospinal fluid pressure between 1.77 ~ 1.94kPa, cells Number of 0.024 ~ 0.18 × 10 ~ 9 / L, of which 4 were between 76 to 81% neutral, 3 chloride low, protein, sugar were normal.