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本文复习了1976～1989年接受治疗的30例小儿中枢神经系统(CNS)结核的临床特点,并对临床和实验室检查,包括头颅CT对CNS结核早期诊断的可能性作了评价。 30例患儿的年龄为6～65月龄(中值23月龄)。18例男孩,12例女孩,男女比为1.5。其中13例(43％)有家庭结核史;21例(70％)家庭成员中有活动性结核。入院前的临床表现分别为发热29例(97％),呕吐22例(73％),嗜睡22例(73％),抽痉14例(47％),厌食8例(27％),颈强8例(27％),咳嗽7例(23％),消瘦7例
This review reviewed the clinical features of 30 pediatric central nervous system (CNS) tuberculosis treated from 1976 to 1989 and evaluated the clinical and laboratory findings, including the possibility of early CT craniofacial CNS tuberculosis diagnosis. The age of 30 children was 6 to 65 months (median 23 months). 18 boys, 12 girls, male to female ratio of 1.5. Thirteen (43%) had a family history of tuberculosis and 21 (70%) had active tuberculosis among family members. Pre-admission clinical manifestations were fever in 29 cases (97%), vomiting in 22 cases (73%), lethargy in 22 cases (73%), spasm in 14 cases (47%), anorexia in 8 cases 8 cases (27%), cough in 7 cases (23%), weight loss in 7 cases