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目的:探讨结核性脑膜脑炎的诊断和治疗方法。方法:对我院2007～2012年5年间40例结核性脑膜脑炎的临床资料进行回顾性分析。结果:结核性脑膜脑炎的早期临床表现、脑脊液特点无特异性,诊断主要靠临床医师对临床资料的综合判断,尽早腰穿减低颅压,抗痨联用激素、常规鞘内注药的治疗方法疗效显著。结论:结核性脑膜脑炎是死亡率最高的肺外结核,早期规范合理治疗是提高治愈率、减少后遗症的关键。
Objective: To explore the diagnosis and treatment of tuberculous meningoencephalitis. Methods: The clinical data of 40 cases of tuberculous meningoencephalitis in our hospital from 2007 to 2012 were analyzed retrospectively. Results: The early clinical manifestations of tuberculous meningoencephalitis, cerebrospinal fluid characteristics of non-specific diagnosis mainly depends on the clinician’s comprehensive judgment of clinical data, as soon as possible to reduce intracranial pressure, anti-Huan joint hormone therapy, conventional intrathecal injection of treatment The method has obvious curative effect. Conclusion: Tuberculous meningoencephalitis is the extra-pulmonary tuberculosis with the highest mortality rate. Early standardized and reasonable treatment is the key to improve the cure rate and reduce the sequelae.