【摘要】 目的探讨结核性脑膜炎的临床特点,以提高对其诊断水平。方法回顾分析2006年1月～2006年9月在该院诊治的结核性脑膜炎(结脑)患者63例临床资料。结果63例结核性脑膜炎中脑膜脑炎型最多;多数在脑膜剌激征期;脑脊液不典型者占31.7%(20/63);头颅CT或MRI检查多数显示有脑积水(26/47)。结论综合分析临床表现、脑脊液、头颅CT或MRI检查以及试验性治疗是提高诊断率的有效方法,早期诊断与及时合理的治疗是降低致残率和死亡率的关健。更多还原

【Abstract】 [Objective] To study the clinical characteristics of tuberculous meningitis in order to improve the diagnostic level of tuberculous meningitis. [Methods] Clinical samples of 63 cases with tuberculous meningitis were retrospectively analysed in our hospital from Jan to Sep, 2006. [Results] The most common type was meningitis in 63 cases with tuberculous meningitis. The majorities of them were during the period of intracranial hypertension.The cases with atypical cerebrospinal fluid accounted for 31.1% (20/63). Hydrocephalus (26/47) was common in CT or MRI. [Conclusion] Comprehensive clinical analysis shows that cerebrospinal fluid, CT and MRI, as well as the experimental therapy, are efficient and helpful ways to improve the ratio of diagnosis. It is important to diagnose early and to treat correctly for decreasing mortality and disability.更多还原