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结核性脑膜炎(下称结脑),是小儿结核病的主要死因。由于治疗上的困难,包括原发耐药菌感染,其病死率至今仍高达15～36%。我院自1985年7月以来,共收治94例结脑患儿,其中2岁以下者约占半数。早期3例,中期37例,晚期54例(57.4%);Ⅰ型浆液型10例,Ⅱ型颅底脑膜炎型54例(57.4%),Ⅲ型脑膜脑炎型24例,Ⅳ型脊髓型9例。其中54例分别合并肺结核、颈淋巴结结核、骨结核。
Tuberculous meningitis (hereinafter referred to as knot brain), is the leading cause of tuberculosis in children. Due to treatment difficulties, including primary drug-resistant infections, the case fatality rate is still as high as 15 to 36%. Our hospital since July 1985, received a total of 94 cases of tuberculous child, of which about 2 years of age accounted for about half. 3 cases were early stage, 37 cases were middle stage and 54 cases were late stage (57.4%). There were 10 cases of type Ⅰ serous fluid, 54 cases of type Ⅱ skull base meningitis, 57 cases of type Ⅲ meningitis, 24 cases of type Ⅳ meningitis, 9 cases. 54 cases were combined with tuberculosis, cervical lymph node tuberculosis, bone tuberculosis.