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我们观察5例中枢神经系统结核病,最后均经尸解和手术方获确诊,现将临床病理资料摘要列表如下。讨论本组5例生前未能确诊,究其原因主要是对临床资料缺乏全面的综合分析,过分重视某种突出的临床所见,有的没有相应的辅助检查。对例2原有结核病变没有足够重视,未行腰穿。忽视例3脑脊液糖和氯化物降低,仅考虑提示肿瘤性病变的X线征象。例1只注意较急发生的偏瘫,脑脊液有红细胞但忽略患者无高血压,脑脊液蛋白增高明显,并已大
We observed 5 cases of central nervous system tuberculosis, and finally confirmed by the autopsy and surgery side, the clinicopathological data summary is as follows. Discussion This group of 5 cases failed to diagnose before their lifetime, the main reason is the lack of a comprehensive comprehensive analysis of clinical data, pay too much attention to some prominent clinical findings, and some do not have the corresponding auxiliary examination. On the original 2 cases of tuberculosis did not pay enough attention, not lumbar puncture. Ignoring the decrease in cerebrospinal fluid sugar and chloride in Example 3, only X-ray findings suggestive of neoplastic lesions were considered. Example 1 only pay attention to the more acute hemiplegia, cerebrospinal fluid erythrocytes, but ignore the patients without hypertension, cerebrospinal fluid protein increased significantly, and has been large