论文部分内容阅读
四、脑脊髓软硬膜炎型(简称脊髓型):此型比较少见,仅占结核性脑膜炎总数的1.5％,多见于年长儿。病变除累及脑膜及脑实质外,还蔓延到脊髓膜和脊髓。临床表现除脑膜及脑实质受损症状和体征外,尚有脊髓及神经根受损的表现。如截瘫、震颤、感觉异常、尿频、尿潴留、顽固性便秘、大小便失禁、神经营养障碍等。因脑脊液通路受阻,有明显的细胞蛋白分离现象、即蛋白含量高而细胞数增高不明显。脑脊液因蛋白含量高而呈黄色。本型病程长,恢复慢,预后不良。不合并脑积水时死亡率并不高,但常留有截瘫后遗症。
Fourth, the type of spinal cord dural inflammation (referred to as spinal cord type): This type is relatively rare, accounting for only 1.5% of the total number of tuberculous meningitis, more common in older children. In addition to lesions involving the brain and brain parenchyma, but also spread to the spinal cord and spinal cord. Clinical manifestations in addition to meninges and brain parenchyma symptoms and signs, there are spinal cord and nerve root damage performance. Such as paraplegia, tremor, sensory abnormalities, urinary frequency, urinary retention, intractable constipation, incontinence, neurotrophic disorders. Due to blocked cerebrospinal fluid pathways, there is a clear cell protein separation phenomenon, that is, high protein content and increased cell number is not obvious. Cerebrospinal fluid due to high protein content and yellow. This type of long course, slow recovery, poor prognosis. Not merge hydrocephalus mortality rate is not high, but often left paraplegic sequelae.