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1981年1月～1991年12月我科共收治维吾尔族小儿结核性脑膜炎151例,男80例,女62例;年龄4月～14岁;以春夏季发病为多(63.53％)。其中早期8例,中期61例,中晚期26例,晚期56例。初治116例,复治35例。接种过卡介苗仅11例,25例有密切结核接触史。临床表现:发热149例,头痛111例,呕吐140冽,惊厥64例,昏迷41例,颈亢118例,克氏征、布氏征、巴氏征阳性各110例、56例、112例,视神经萎缩5例,有颅神经损害症状19例,肢体瘫痪35例。脑脊液检查细胞数大多在50～500×10~6/L,>500×10~6/L27例,最多1例为1820×10~6/L,以淋巴细胞为主122例;蛋白定量+～+++,
From January 1981 to December 1991, 151 cases of Uygur children with tuberculous meningitis were treated in our department. There were 80 males and 62 females, ranging in age from April to 14 years old. Most of them were infected in spring and summer (63.53%). Among them, there were 8 cases in the early stage, 61 cases in the middle stage, 26 cases in the advanced stage and 56 cases in the late stage. The initial treatment of 116 cases, 35 cases of retreatment. Only 11 cases were vaccinated with BCG, and 25 cases had a close contact history of tuberculosis. Clinical manifestations: fever in 149 cases, headache in 111 cases, vomiting 140 冽, convulsions in 64 cases, coma in 41 cases, hyperthyroidism in 118 cases, Kirschner sign, Clinton’s sign, Papanicolaou positive in 110 cases, 56 cases, 5 cases of optic atrophy, cranial nerve damage in 19 cases, limb paralysis in 35 cases. Cerebrospinal fluid examination of the majority of cells in the 50 ~ 500 × 10 ~ 6 / L,> 500 × 10 ~ 6 / L27 cases, up to 1 case was 1820 × 10 ~ 6 / L, 122 cases of lymphocytes; +++,