结核性脑膜炎(以下简称结脑)在农村仍较常见。由于该病早期临床表现较隐匿及医生缺乏警惕,易误诊。我院1980～1986年共收治结脑90例,其中22例误诊;加之乡医院误诊情况的明确记录,乡、县两级共误诊45例。分别误诊为病脑、感冒、伤寒、肺炎、产褥感染、肠寄生虫、腹膜炎、肺结核、血管神经性头痛、神经官能症等13种疾病。误诊时间为2～83天,平均18.2天。 Tuberculous meningitis (hereinafter referred to as knot brain) is still more common in rural areas. Due to the clinical manifestations of the disease earlier than the hidden and the lack of vigilance doctors easily misdiagnosed. In our hospital from 1980 to 1986 were treated 90 cases of tuberculosis, of which 22 cases were misdiagnosed; coupled with the misdiagnosis of township hospitals, a clear record of 45 cases of misdiagnosis at the township and county levels. Were misdiagnosed as sick brain, cold, typhoid, pneumonia, puerperal infection, intestinal parasites, peritonitis, tuberculosis, vascular neuropathic headache, neurosis and other 13 kinds of diseases. Misdiagnosis time is 2 to 83 days, an average of 18.2 days.