本文对108例成人重症结核性脑膜炎(结脑)进行分析。结果:绝人多数病人都有发热、头痛、呕吐、颈硬、克氏征阳性等表现;大多数病人首次脑脊液检查符合结脑的典型改变;误诊是本文结脑病死率较高的首要原因;用大剂量异烟肼病死率最低;用脱水剂与不用脱水剂比较,病死率前者比后者明显降低。现对我院1962～1984年住院的108例成人重症结脑病例统计分析如下。 In this paper, 108 cases of adult severe tuberculous meningitis (tuberculosis) were analyzed. Results Most of the patients had fever, headache, vomiting, stiff neck and positive Kirschner’s syndrome. The first cerebrospinal fluid examination in most patients was in accordance with the typical changes of tuberculous meningitis. Misdiagnosis was the leading cause of high mortality in this article. Isoniazid with a large dose of the lowest mortality; with dehydrating agent and without dehydrating agent, the former mortality rate was significantly lower than the latter. Now in our hospital from 1962 to 1984 hospitalized 108 cases of adult patients with severe tuberculosis were analyzed as follows.