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结核性脑膜炎是儿科肺外结核中最严重之疾患。当临床已发生结核性脑膜炎的典型表现时,即使积极治疗,其后遗症也很难避免。因此,早期诊断是防止后遗症、治疗小儿结核性脑膜炎的关键。小儿结核性脑膜炎早期临床表现多不典型,且随着患儿年令大小,机体抵抗力强弱及抗痨药物治疗规则与否,其表现可多种多样。本文试就我院经腰椎穿刺确诊的小儿结核性脑膜炎32例作一扼要介绍与分析,以期对早期病例的诊断有所裨益。
Tuberculous meningitis is the most serious disease in pediatric pulmonary tuberculosis. When the typical clinical manifestations of tuberculous meningitis have occurred, even after active treatment, its sequelae are hard to avoid. Therefore, the early diagnosis is to prevent sequelae, the key to the treatment of children with tuberculous meningitis. Early clinical manifestations of children with tuberculous meningitis and more atypical, and with the annual size of children, the body resistance and anti-tuberculosis drug treatment rules or not, its performance can be varied. This article try to diagnose 32 cases of tuberculous meningitis in children diagnosed by lumbar puncture in our hospital for a brief introduction and analysis in order to benefit the diagnosis of early cases.