结核性脑膜炎(简称结脑)近年来临床表现不典型,早期诊断困难,误诊率高。本文就我院1976年1月—1994年12月共19年来收治的123例结脑,分析其主要临床症状、体征及脑脊液变化的不典型表现,探讨误诊原因,试图找出早期诊断的线索。 1 临床资料 1.1病例选择:全组为住院病例。选择我院1976年1月—1994年12月出院确诊为结脑,记录完整,全部具备下述前3条,并且具备第4—6条中1条以上者。 Tuberculous meningitis (referred to as knot brain) in recent years, clinical manifestations of atypical early diagnosis difficult, misdiagnosis rate. In this paper, our hospital from January 1976 to December 1994, a total of 123 cases of tuberculosis were treated in 19 years, analysis of its main clinical symptoms and signs and cerebrospinal fluid changes of atypical manifestations, to explore the causes of misdiagnosis, trying to identify clues to the early diagnosis. 1 clinical data 1.1 Case Selection: The whole group of hospitalized cases. Select our hospital from January 1976 to December 1994 was diagnosed as knot brain discharge, complete record, all have the following three articles, and Article 4-6 of more than one.