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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

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【作者】 韩伟崔秀琴肖志坚李振魁

【Author】 HAN Wei,CUI Xiu-qin,XIAO Zhi -jian,et al (Department of pumonary medicine,the first Hospital of Xinxiang medical college,Henan 453100,China)

【机构】 新乡医学院一附院结核内二科

【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.

  • 【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
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