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64例小儿结核性脑膜炎临床分析
The clinical analysis of tuberculous meningitis in sixty-four children
【摘要】 目的:研究影响小儿结核性脑膜炎预后的因素分析。方法:临床确诊的结核性脑膜炎患儿64例,结合临床情况、脑脊液检查、影像学、治疗情况等进行总结、归纳。结果:早期诊断率仅34.4%,经积极正规治疗后早期患儿有效率为94.4%,中期患儿为70.4%,晚期患儿为52.6%。结论:小儿结核性脑膜炎早期诊断、治疗,预后良好,长时间误诊误治导致椎管黏连、梗阻,预后差,病残率、死亡率高。
【Abstract】 Objective:To analyze the factors which affect the prognosis of tuberculous meningitis in children.Methods:Conclude from 64 children confirmed of tuberculous meningitis,combining with clinical condition、check of cerebrospinal fluid、medical imaging and treatment conditions.Results;Early diagnosis rate was only 34.4%.Based on positive formal treatment,the efficacy of early period sick children was 94.4%,medium - term sick children was 70.4%and late period sick children was 52.6%.Conclusions: The prognosis is good based on early diagnosis and treatment while the prognosis is bad based on long period misdiagnosis and mistreatment and result in spinal adhesions、obstruction and high mortality.
【Key words】 Children; Tuberculous meningitis; Misdiagnosis; Mistreatment; Efficacy;
- 【文献出处】 中国民康医学 ,Medical Journal of Chinese People’s Health , 编辑部邮箱 ,2010年01期
- 【分类号】R725.1
- 【被引频次】3
- 【下载频次】47