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我院1976～1982年间收治成人结核性脑膜炎152例,其中不典型结脑122例(80％),分析如下。临床资料各型临床表现见下表: 讨论 1、对不典型结脑分型的几点认识 (1)结脑并非是单纯性软脑膜的炎症,而是一种慢性脑膜炎常伴有全动脉和静脉炎。动脉炎不仅发生于脑表面亦可发生在脑深部,并能形成脑血栓,导致动脉壁纤维样坏死或完全废弃。(2)结脑除软脑膜炎外,常有蛛网膜炎,甚至硬脑膜内层炎。(3)结脑炎症分为渗出和增生性二种,前者渗出物造成后者增生粘连,使病变脑膜增厚变硬。(4)结脑的炎
Our hospital from 1976 to 1982 admitted to adult tuberculous meningitis in 152 cases, of which 122 cases of atypical nodules (80%), analyzed as follows. Clinical data of various types of clinical manifestations in the table below: Discussion 1, atypical nodular brain Recognition (1) knot brain is not a simple inflammation of the pia mater, but a chronic meningitis is often accompanied by whole artery And phlebitis. Arteritis occurs not only in the brain surface can occur in the deep brain, and can form cerebral thrombosis, resulting in fibrous necrosis of the arterial wall or completely abandoned. (2) knot brain addition to meningitis, often arachnoiditis, and even dural inflammation. (3) knot brain inflammation is divided into two kinds of exudation and proliferation, the former exudate caused by the proliferation of adhesions, the lesion meningeal thickening. (4) knot brain inflammation