结核性脑膜炎(结脑)是一严重的疾病。1946年抗结核药物出现前,结脑患者几乎全部死亡。近代抗痨治疗虽然有进步,但疗效仍然不满意,多留后遗症。 治疗原则 1.尽量早期治疗。只要疑及结脑,即刻开始抗结核治疗。 2.选用一联合易透过血脑屏障的抗结核方案。 3.余同肺结核的抗痨治疗原则。 Tuberculous meningitis (tuberculous meningitis) is a serious disease. Almost all patients with tuberculous meningitis died before the anti-TB drugs were introduced in 1946. Although modern anti-tuberculosis treatment progress, but the effect is still not satisfied, leaving more sequelae. Treatment principles 1. Try to early treatment. As long as suspicion and brain, immediately start anti-TB treatment. 2. Use a joint anti-TB program that is easy to penetrate the blood-brain barrier. 3. More than the same principles of tuberculosis anti-tuberculosis treatment.