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目的:分析结核性脑膜炎的临床及治疗中影响预后的因素。方法:回顾分析10年来我院收治的68例结核性脑膜炎患者的临床及实验室资料。结果:59例患者痊愈,5例患者遗留肢体后遗症,4例患者死亡。结论:治疗结核性脑膜炎过程中积极区分引起低钠血症的原因及鉴别药物热与类赫氏反应并给以合理治疗和对中重度和治疗效果不佳的结核性脑膜炎适时的鞘内注药可改善患者的预后。患者的体质同预后有关。
Objective: To analyze the factors influencing prognosis in the clinical and treatment of tuberculous meningitis. Methods: The clinical and laboratory data of 68 patients with tuberculous meningitis treated in our hospital over the past 10 years were retrospectively analyzed. RESULTS: Fifty-nine patients were cured, 5 patients had limb sequelae, and 4 patients died. CONCLUSIONS: The positive diagnosis of hyponatremia during tuberculous meningitis and the identification of thermal and class Hysteric reactions in the treatment of tuberculous meningitis and appropriate intrathecal administration to moderate-to-moderate and poorly-responding tuberculous meningitis Injection can improve the patient’s prognosis. The patient’s constitution is related to the prognosis.