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慢性结核性脑膜炎所致脑积水治疗的探讨 被引量:7

Conservative treatment with chronic hydrocephalus after tuberculous meningitis.
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摘要 目的探讨采用抗结核治疗处理慢性结核性脑膜炎所致脑积水的可行性。方法总结39例合并脑积水的慢性结核性脑膜炎的临床资料和转归情况。结果经抗结核治疗后,颅内高压症状消失,治疗前后CT片对比显示脑室大小无明显变化。结论对于慢性结核性脑膜炎导致的交通性脑积水,可经过积极的抗结核治疗,不必行分流手术。 Objective To explore the advisability of treating hydrocephalus after chronic tubercular tuberculous meningitis with conservative methods. Methods We generalized the clinical materials and prognosis of 39 patients who were diagnosed as chronic tuberculous meningitis accompanied with hydrocephalus and treated with conservative methods in Xiehe hospital. Resalts Symptom of high intracranial pressure relieved; Compared with pretreatment, the size of ventricle shown on CT has not changed after anti-tuberculous therapy. Conclusion For patients who suffered with chronic communicating hydrocephalus induced by tuborcular meningitis, anti-tuberculous therapy is effective, and shunt surgery is unnecessary.
出处 《华中医学杂志》 CAS 2006年第3期159-160,共2页 Central China Medical Journal
关键词 慢性结核性脑膜炎 脑积水 治疗 Chronic tuberculous meningitis Hydrocephalus Therapy
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参考文献5

  • 1Ozates M,Kemaloglu S,Gurkan F et al.CT of the brain in tuberculous meningitis.A review of 289 patients.Acta Radiol,2000,41(1):13
  • 2Goel A.Tuberculous meningitis and hydrocephalus.Neurol India,2004,52(2):155
  • 3Palur R,Rajshekar V,Chandy MJ et al.Shunt surgeryfor hydrocephalus in tuberculousmeningitis:a long term follow up study.J Neurosurg,1991,74(1):64
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