论文部分内容阅读
新型隐球菌脑膜炎(下称隐脑),临床表现复杂,易于误诊。为吸取教训,提高诊疗水平,现将我院9年来收治的14例中误诊的11例,作一分析讨论。临床资料一、一般情况 11例中男性6例,女性5例。年龄22~49岁,平均31.82岁。多发生于青壮年(9/11)和农民(6/11)。以春季多发(6/11),其次为夏季(3/11)。发病至确诊时间20~192天,平均66.2天。发病1个月内入院的3例(1例死亡),1~6个月入院的8例(1例死亡)。二、临床表现以发热为首发症状者8例。病程中出现头痛者11例,呕吐10例,轻
Cryptococcus neoformans meningitis (hereinafter referred to as cryptococcal), the clinical manifestations of complex, easy to misdiagnosis. To learn lessons and improve the level of diagnosis and treatment, now in our hospital for 9 years, 14 cases were misdiagnosed in 11 cases for an analysis to discuss. Clinical data First, the general situation 11 cases of 6 males and 5 females. Aged 22 to 49 years old, average 31.82 years old. Occurred in young adults (9/11) and farmers (6/11). Multiple in spring (6/11), followed by summer (3/11). The onset of diagnosis to 20 to 192 days, an average of 66.2 days. Three patients admitted to hospital within 1 month of onset (1 death) and 8 admitted to hospital from 1 to 6 months (1 patient died). Second, the clinical manifestations of fever as the first symptom in 8 cases. Headache during the course of 11 cases, vomiting in 10 cases, light