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结核性脑膜炎78例临床分析

Clinical analysis of 78 cases of tuberculous meningitis
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摘要 目的分析结核性脑膜炎患者的临床特征,探讨影响结核性脑膜炎预后的主要因素。方法回顾分析78例结核性脑膜炎患者临床资料。结果患者平均住院天数为(76±22)d,54例(69.2%)痊愈,9例(11.5%)遗留不同程度肢体后遗症,视听觉障碍3例(3.8%),癫痫4例(5.1%),死亡8例(10.3%)。结论影响结核性脑膜炎疗效的因素很多,早期诊断和治疗尤其重要,早期使用抗结核药物治疗及开始治疗的方案是影响预后的关键因素。 Objective To study clinical characteristics of patients with tuberculous meningitis and explore the main factors affecting the prognosis of tuberculous meningitis. Methods The clinical data of 78 tuberculous meningitis patients were collected. Results The average hospitalization days of 78 patients was (76 ± 22)d.In the 78 patents, there were 54 cases (69.2%) cured, and 9 cases (11.5%) having body sequelae, 3 cases (3.8%) with visual and auditory damage,4 cases (5.1%)with epilepsy and 8 patients (10.3%) died. Conclusion There are many factors affecting treatment of tuberculous meningitis,early diagnosis and treatment is particularly important.The early use of anti-TB drugs and initial treatment program are key factors affecting prognosis.
作者 于德禄
出处 《中国医药科学》 2013年第6期195-196,共2页 China Medicine And Pharmacy
关键词 结核性脑膜炎 结核 治疗 预后 Tuberculous meningitis Tuberculosis Treatment Prognosis
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