论文部分内容阅读
结核性脑膜炎(以下简称结脑)具有典型的临床表现者,诊断不难。但近年来非典型病例增多,以致诊断困难,延误治疗。现将我科所见非典型结脑病例选择报告如下:例1:男孩,10岁,1979年9月3日入院。因发热头痛呕吐,经一般抗感染治疗无效,脑脊液白细胞270个,中性75%,淋巴25%,疑乙型脑炎于当地治疗半月无好转转来我院。一年前曾因头痛呕吐低热3个月,疑结脑于某医院用青、链霉素、异烟肼和强的松治疗3个月病情好转,出院后未坚持抗结核治疗。
Tuberculous meningitis (hereinafter referred to as knot brain) with a typical clinical manifestations, the diagnosis is not difficult. However, the number of atypical cases has increased in recent years, making it difficult to diagnose and delay treatment. Now we see atypical cases of cesarean section selected cases are reported as follows: Example 1: The boy, 10 years old, September 3, 1979 admission. Because of fever, headache and vomiting, the general anti-infective therapy ineffective, cerebrospinal fluid leukocyte 270, 75% neutral, lymphatic 25%, suspected Japanese encephalitis in the local treatment of a month without improvement to our hospital. A year ago because of headache and vomiting, fever 3 months, suspected brain in a hospital with cyanosis, streptomycin, isoniazid and prednisone treatment 3 months condition improved, did not adhere to anti-TB treatment after discharge.