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目的:探讨结核性脑膜炎的临床特点,以提高对结核性脑膜炎的诊治平。方法:对40例结核性脑膜炎的临床资料,包括临床特点、脑脊液、CT、MR I及治疗进行分析。结果40例结核性脑膜炎中均有发热、头痛、脑膜刺激征;CSF压力升高35/40例(87.5%),白细胞升高35/40例(87.5%),蛋白升高33/40例(82.5%),糖含量<2.5 mmol/L 33例(82.5%);氯化物<120 mmol/L 30例(75.0%);抗酸杆菌染色:阳性2例(5.0%);误诊率32.5%。结论:综合分析临床表现、脑脊液、CT或MR I及试验性治疗是提高诊断正确率的有效方法。早诊断早治疗,降低死亡率和致残率。
Objective: To investigate the clinical features of tuberculous meningitis in order to improve the diagnosis and treatment of tuberculous meningitis. Methods: The clinical data of 40 cases of tuberculous meningitis, including clinical features, cerebrospinal fluid, CT, MRI and treatment were analyzed. Results 40 cases of tuberculous meningitis had fever, headache and meningeal irritation. CSF pressure rose 35/40 (87.5%), leukocyte increased 35/40 (87.5%) and protein increased 33/40 (82.5%), 33 cases (82.5%) with sugar content <2.5 mmol / L, 30 cases (75.0%) with chloride <120 mmol / L and acid fast bacilli (2 cases) . Conclusion: Comprehensive analysis of clinical manifestations, cerebrospinal fluid, CT or MRI and experimental treatment is an effective way to improve the diagnostic accuracy. Early diagnosis and early treatment, reduce mortality and morbidity.