成人结核性脑膜炎198例临床分析

• 作 者: 黄文礼 张佩英 王一丁 孙翠如
• 机 构: 浙江医科大学附属一院肺科,浙江医科大学附属一院肺科,浙江医科大学附属一院肺科,浙江医科大学附属一院肺科,
• 出 处: 浙江医学
• 发表日期: 1981年05期
• 关键词: 结核性脑膜炎 对氨水杨酸钠 荧光素钠 渗透率 脑脊液检查 氯化物 抗结核药物 密切接触史 脑脊液生化 结核病灶

本文分析了我院23年来成人结核性脑膜炎198例,以30岁以下青年农民最多.起病急骤者66例,较缓慢者132例.脑脊液检查蛋白、细胞数增高,氯化物、糖降低,氯化物的降低较糖显著.荧光素钠渗透率试验26例阳性,随着病情好转而阳性度减弱或阴转.治疗分四组,以链霉素,异菸肼,对氨水杨酸钠并激素组疗效较佳.

This article analyzes 198 cases of adult tuberculous meningitis in our hospital over the past 23 years, with the largest number of young farmers under the age of 30. 66 cases of sudden onset were more slowly 132 cases of cerebrospinal fluid examination of protein, cell number increased chloride, sugar, Chloride decreased more significantly than sugar.The sodium fluorescein permeability test was positive in 26 cases, with the improvement of the disease positive or weakening or overcast.The treatment was divided into four groups, with streptomycin, isoniazid, sodium and sodium salicylate and Hormone group better efficacy.