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目的探讨结核性脑膜炎的临床特点和脑脊液检查的诊断价值。方法回顾性分析27例结核性脑膜炎患者的临床资料。结果 27例结核性脑膜炎患者多急性或亚急性起病,以颅高压症状和脑膜炎症状突出,脑脊液细胞数多呈中等程度升高,细胞学为混合细胞反应,生化改变为糖低、氯化物低、蛋白增高。结论脑脊液的变化对诊断和治疗有指导意义,长期不间断的治疗是预后关键。
Objective To investigate the clinical features of tuberculous meningitis and the diagnostic value of cerebrospinal fluid examination. Methods The clinical data of 27 patients with tuberculous meningitis were retrospectively analyzed. Results 27 patients with acute or subacute onset of tuberculous meningitis patients with symptoms of intracranial hypertension and meningitis symptoms prominent, the number of cerebrospinal fluid cells showed a moderate increase in cytology as mixed cell response, biochemical changes to low sugar, chlorine Low chemical, protein increased. Conclusion The changes of cerebrospinal fluid have guiding significance for diagnosis and treatment. The long-term continuous treatment is the key to prognosis.