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目的探讨结核性脑膜炎的临床诊断和治疗措施,总结经验以提高自身诊疗水平。方法回顾性分析2007年10月~2013年10月河南省信阳市第四人民医院收治的60例结核性脑膜炎患者的资料。结果 60例患者中40例痊愈,6例遗留不同程度肢体后遗症,2例视觉及听觉障碍,癫痫3例,死亡6例,3例自动离院;不良反应经抗结核药物减量或对症处理后症状消失。结论早期诊断并给予及时合理的临床治疗,能够提高结核性脑膜炎的治疗效果,改善患者预后。
Objective To investigate the clinical diagnosis and treatment of tuberculous meningitis and summarize the experience to improve their diagnosis and treatment. Methods The data of 60 patients with tuberculous meningitis admitted to the Fourth People’s Hospital of Xinyang City, Henan Province from October 2007 to October 2013 were retrospectively analyzed. Results Of the 60 cases, 40 cases were cured, 6 cases left with varying degrees of limb sequelae, 2 cases of visual and hearing impairment, 3 cases of epilepsy, 6 cases of death and 3 cases of automatic hospitalization. Adverse reactions were reduced or symptomatically treated with anti-TB drugs Symptoms disappear. Conclusion Early diagnosis and timely and reasonable clinical treatment can improve the curative effect of tuberculous meningitis and improve the prognosis of patients.