我院儿科于1968年3月至1983年6月收治的结核性脑膜炎(简称结脑)患儿于住院期死亡90例,其中来自农村占86%。入院时的病期,按《实用儿科学》分期标准,早期为7例,中期为35例,晚期为88例。入院前准确诊断仅有一例。60%误诊为上感,其次为化脑、脑炎、发热待查及头痛待查等。结脑是小儿结核病中病死率较高的一种,从抗结核药物应用以来,若能早期确诊,及时而彻底治疗可以完全治愈,因此全面加强农村结核病的防治工作和提高医务工作者对结脑的诊断水平仍极为重要。 Pediatric patients with tuberculous meningitis (referred to as tuberculous meningitis) who were treated in our pediatric department from March 1968 to June 1983 died of 90% of hospitalized cases, of whom 86% were from rural areas. The duration of admission, according to “Practical Pediatrics” staging criteria, early in 7 cases, 35 cases in the interim, late in 88 cases. Accurate diagnosis before admission only one case. 60% misdiagnosed as a sense of flu, followed by the brain, encephalitis, fever to be checked and headache pending. Tuberculosis is a high incidence of tuberculosis in children with a high, from the application of anti-TB drugs, if early diagnosis, timely and thorough treatment can be completely cured, so as to comprehensively strengthen the prevention and treatment of tuberculosis in rural areas and improve health care workers on the brain The level of diagnosis is still extremely important.