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早期诊断的重要性结核性脑膜炎(下称结脑)是结核病中最严重的一种,在无抗结核药物的年代,发病后约经过3周,即100％的死亡。现在虽已有多种有效的抗结核药物,根据国内几个大城市的病例分析材料看来,成人结脑的病死率,仍不下15％左右,儿童结脑可能更高一些。结脑的预后所以还如此不理想,原因有多种,但最主要的是由于未能早期诊断而致治疗不及时。有文献就1,116例结脑病人进行了分析,发现发病后5、10、15、20天开始治疗者,病死率各为6.7％、29.2％、52.7％、100％,可见早期诊断的重要性。
The importance of early diagnosis of tuberculous meningitis (hereinafter referred to as tuberculous meningitis) is the most serious of tuberculosis in the era of anti-TB drugs, after about 3 weeks after onset, that is, 100% of deaths. Although there are many effective anti-tuberculosis drugs now, according to the case analysis materials of several major cities in China, the morbidity and mortality rate of adults with tuberculous meningitis is still about 15%, and children with tuberculous meningitis may be at a higher level. Therefore, the prognosis of tuberculous so still not ideal, for a variety of reasons, but the most important is due to failure to early diagnosis and treatment is not timely. There are literatures on 1,116 cases of tuberculous meningitis patients were analyzed and found that the onset of 5,10,15,20 days after treatment, the mortality were 6.7%, 29.2%, 52.7%, 100%, showing the importance of early diagnosis.