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结核性脑膜炎(简称结脑)在我国病死率仍较高,达20%左右,其原因与误诊率高有密切关系。本文就我院1980~1985年间收住院的结脑病人中误诊的105例进行分析。一、临床资料(一)病例选择:规定自结脑发病始一周内确诊者为早期诊断,超过此标准者为误诊。以此选择住院3个月以上、材料基本完整、治疗方案基本相同的病人247例,误诊者105例(42.5%),误诊时间6~68天,平均为24.5天。(二)一般资料:城镇32例(30.5%),农村73例
Tuberculous meningitis (referred to as knot brain) in our country the mortality rate is still high, reaching about 20%, the reason is closely related to the high rate of misdiagnosis. This article analyzes the misdiagnosis of 105 cases of tuberculosis patients admitted to our hospital from 1980 to 1985. First, the clinical data (A) Case Selection: Provisions from the onset of the brain onset within one week of diagnosis for early diagnosis, more than this standard are misdiagnosed. In order to select the hospital for more than 3 months, the material is basically complete, the treatment of patients with basically the same 247 cases, 105 cases of misdiagnosis (42.5%), misdiagnosis time 6 to 68 days, an average of 24.5 days. (B) General Information: 32 cases of urban areas (30.5%), 73 cases of rural areas