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对结脑并发症的治疗,特别是对脑蛛网膜炎的治疗,仍然是一个未解决的问题.脑蛛网膜炎可引起脑积水、视交叉蛛网膜炎、颅神经麻痹、偏瘫或四肢瘫等.这一合并症在小儿尤为多见.并用抗结核药和类固醇来预防和治疗这一合并症但效果不佳.对脑积水仍是主要用脑室分流术治疗,但该手术的合并症较多.本文报告用透明质酸酶治疗15例并发于结核性脑膜炎的脑蛛网膜炎.A组,13例儿童,2例成人,11例伴有交通性脑积水,4例伴视交叉蛛网膜炎.同时期15例并发于结核性脑膜炎的交通性脑积水用脑室分流术治疗,作为B组.(14例儿童,1例成人).结核性脑膜炎并发脑蛛网膜炎的诊断依据是:①临床症状进行性加重或不见改善,②视力减退甚或失明,③头颅进行性增大,均经神经放
The treatment of tuberculous complication, especially for the treatment of cerebral arachnoiditis, remains an unsolved problem. Cerebral arachnoiditis can cause hydrocephalus, optic arachnoiditis, cranial nerve palsy, hemiparesis or quadriplegia Etc. This complication is especially common in children and is not effective in preventing and treating this comorbid condition with anti-TB drugs and steroids. Hydrocephalus is still mainly treated by ventricular shunt, but the complications of this operation More.In this paper, 15 cases of cerebral arachnoiditis complicated by tuberculous meningitis were treated with hyaluronidase.A group, 13 cases of children, 2 cases of adult, 11 cases with traffic hydrocephalus, 4 cases with palpation Crossed arachnoiditis in the same period 15 cases of concurrent hydrocephalus of tuberculous meningitis with ventricular shunt treatment, as a group B. (14 children, 1 adult) .Conclusion Tuberculous meningitis with cerebral arachnoiditis The diagnosis is based on: ① worsening clinical symptoms or no improvement, ② vision loss or even blindness, ③ progressive head increased by nerve release