本文通过3例尸检证实为误诊的成人结核性脑膜炎(结脑)的分析,提出误诊原因有:(1)临床经过不典型;(2)实验室检查结果不典型;(3)医生警惕性不够等三方面.建议:(1)对疑似病例应结合临床进行脑脊液(CSF)生化及常规检查的动态观察;(2)开展多项目实验室检查等以提高结脑的早期诊断率。 In this paper, three cases of post-mortem examination confirmed misdiagnosis of adult tuberculous meningitis (tuberculosis) analysis, the reasons for misdiagnosis are: (1) clinical atypical; (2) laboratory findings were not typical; (3) doctor vigilance Not enough, etc. Recommendations: (1) The suspicion cases should be combined with clinical dynamic observation of cerebrospinal fluid (CSF) biochemistry and routine examination; (2) to carry out multi-project laboratory tests to improve the early diagnosis rate of tuberculosis.