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目的探讨婴幼儿结核性脑膜炎的误诊原因。方法对11例婴幼儿结核性脑膜炎进行回顾性分析。结果 11例结核性脑膜炎患儿中有5例以不同诊断收入儿内科,误诊率高达45.5%。对婴幼儿结核性脑膜炎表现不典型认识不足、未对病史进行全面分析、对脑脊液缺乏正确的分析、过分相信辅助检查是误诊的重要原因。结论婴幼儿结核性脑膜炎临床表现不典型并且无特异性,较易误诊,医师具体工作实践中应该要多分析,多总结,多警惕婴幼儿结核性脑膜炎,从而正确诊断,减少或杜绝误诊的发生。
Objective To investigate the causes of misdiagnosis of tuberculous meningitis in infants and young children. Methods Retrospective analysis of 11 cases of tuberculosis meningitis in infants. Results Among the 11 children with tuberculous meningitis, 5 cases were diagnosed with different medical records and the rate of misdiagnosis was 45.5%. Atypical understanding of the atypical tuberculous meningitis in infants and young children, did not conduct a comprehensive analysis of the history of the lack of a correct analysis of cerebrospinal fluid, excessive confidence in the auxiliary examination is an important reason for misdiagnosis. Conclusions The clinical manifestations of tuberculous meningitis in infants and young children are not typical and non-specific, and are easy to be misdiagnosed. Therefore, physicians should analyze and summarize more in their specific work practice and be more vigilant against tuberculous meningitis in infants and young children so as to correctly diagnose, reduce or eliminate misdiagnosis happened.