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本组成人结核性脑膜炎临床资料分析有如下特点。 1.青壮年多,女性多,男∶女为1∶1.8。 2.亚急性和慢性发病多,本组资料占80％,少数急性发病。 3.大多数病例(84％)初期有感冒样症状或结核中毒症状。 4.呈高颅压及脑膜刺激征。 5.脑脊液检查细胞数增高92％,少数正常。本组以分叶为主者占60％,以淋巴细胞为主者占40％,与国内有些文献报告不同。 6.有原发结核病灶者比国内某些报道低。 7.病程均较长。作者认为,结脑应与隐球菌脑膜炎、癌性脑膜炎、病毒性脑膜炎、化脑相鉴别。另外,对1～2个月查不到病因的发热待查病人,应早期做腰穿。
This group of adult clinical data analysis of tuberculous meningitis has the following characteristics. 1. Young and more, more women, male: female 1: 1.8. Subacute and chronic disease, the group accounted for 80% of the data, a small number of acute onset. 3. Most cases (84%) initially had cold-like or tuberculosis symptoms. 4. Into the intracranial pressure and meningeal irritation. 5. Cerebrospinal fluid examination increased the number of cells 92%, a small number of normal. This group of lobular-based accounted for 60% to 40% of lymphocyte-based, with some domestic literature reported different. 6. There are primary tuberculosis than some of the domestic reports of low. 7. longer duration. The authors believe that knot brain should be with cryptococcal meningitis, meningitis, viral meningitis, brain phase identification. In addition, 1 to 2 months can not find the cause of fever to be investigated patients should be done early to wear lumbar.