论文部分内容阅读
我们自1964年～1986年间收治结核性脑脊髓膜炎（简称结脑）386例，死亡70例（18.1％）。386例中伴发中枢神经系统定位体征者59例（15.3％），死亡24例（40.7％）。现将24例死亡情况及经验教训分析如下：临床资料一、本组诊断标准：1）亚急性起病、发热、头痛、呕吐、脑膜刺激征阳性。2）伴有偏瘫、单瘫或截瘫。3）CSF符合典型结核性改变。4）除外化脓性、癌性、病毒性、霉菌性脑膜炎。5）伴有脑膜外结核病灶。6）尸解证实。全部病例除必须具备有前三项外，同时兼有后三项中的任何一项。
We treated 386 cases of tuberculous meningitis (abbreviated as tuberculous meningitis) from 1964 to 1986, and died of 70 cases (18.1%). Among 386 cases, 59 cases (15.3%) had central nervous system localization and signs and 24 cases died (40.7%). Now 24 cases of death and experience and analysis as follows: Clinical data First, the diagnostic criteria in this group: 1) subacute onset, fever, headache, vomiting, meningeal irritation positive. 2) accompanied by hemiplegia, paralysis or paraplegia. 3) CSF conforms to the typical tubercular changes. 4) Except suppurative, cancerous, viral, fungal meningitis. 5) associated with extradural tuberculosis. 6) autopsy confirmed. In addition to all the cases must have the first three, with both the latter three in any one.