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目的探讨结核性脑膜脑炎的临床救治体会。方法回顾性分析本院近年来收治的30例结核性脑膜脑炎患者的临床资料。结果30例结核性脑膜脑炎患者,经过治疗,2周后临床症状均有所缓解,4周后脑脊液检查恢复正常18例,治疗6周后出院,继续口服药物维持治疗,每月复查1次,并行脑脊液检查。出院时治愈16例,好转11例,无效3例,有效率为90.0%。结论为了提高结核性脑膜脑炎的救治效果,必须提高其临床诊断的准确率,以尽早采取合理的救治方法,尽快控制患者的病情发展,缩短病程,提高治疗效果,降低患者的死亡率。
Objective To explore the clinical treatment of tuberculous meningoencephalitis. Methods The clinical data of 30 patients with tuberculous meningoencephalitis admitted to our hospital in recent years were retrospectively analyzed. Results Thirty patients with tuberculous meningoencephalitis had clinical symptoms after 2 weeks of treatment. 18 patients returned to normal after 4 weeks and were discharged after 6 weeks of treatment. Oral drug maintenance treatment was continued once a month , Parallel cerebrospinal fluid examination. Discharged 16 cases were cured, improved in 11 cases, 3 cases were ineffective, the effective rate was 90.0%. Conclusion In order to improve the curative effect of tuberculous meningoencephalitis, we must improve the accuracy of clinical diagnosis to take reasonable treatment as soon as possible, control the patient’s condition as soon as possible, shorten the course, improve the curative effect and reduce the mortality of patients.