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对一组结核性脑膜炎时脑积水的成因进行了分析。26例病人中男14人,女12人;平均年龄23.9士12.4岁。占同期病例的45.6％。其中梗阻性积水19例,以导水管处居多,其发生随病程推移有增加。脑白质水肿是其伴随症侯。发生积水者年龄偏小.早期应用激素和早期抗痨治疗对减少积水发生有重要意义。CSF蛋白定量显著增高与积水发生相关。认为脑积水的发生主要与结脑急性期后的纤维素样渗出和增殖有关,CSF蛋白显著增高可作为脑积水发生和早期处理的指标之一。
The causes of hydrocephalus in a group of tuberculous meningitis were analyzed. Among 26 patients, 14 were males and 12 were females with an average age of 23.9 ± 12.4 years. Accounting for 45.6% of cases in the same period. Among them, there were 19 cases of obstructive hydrocephalus, most of them were in the aqueduct. The incidence increased with the course of the disease. White matter edema is accompanied by Hou Hou. Occurrence of hydrocephalus younger age. Early application of hormones and early anti-tuberculosis treatment to reduce the occurrence of hydrocephalus is of great significance. CSF protein quantitatively significant increase associated with hydronephrosis. It is believed that the occurrence of hydrocephalus is mainly related to cellulose-like exudation and proliferation after acute brain injury. CSF protein may be one of the indicators of occurrence and early treatment of hydrocephalus.