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本文报告1971～1984年本院儿科收治小儿结核性脑膜炎115例的近期疗效及其中48例远期预后观察结果。自治疗开始至2年内近期基本治愈26例(22.6%),好转62例(54%),无改变18例(15.7%),死亡9例(7.8%)。椎管内注药有效26/28例,非椎管内注药有效62/87例。结核性脑膜炎各期疗效,早、中、晚有效率各占96.2%、68.9%及64%,上二项P<0.05,差异均显著。远期随访48例结果,治愈36例(75%),其中后遗症17例(47.2%),死亡12例(25%)。本文并就小儿结核性脑膜炎的诊断、治疗与预后问题加以讨论。
This article reports from 1971 to 1984 pediatric hospital children with tuberculous meningitis in 115 cases of immediate effect and 48 cases of long-term prognosis. From the beginning of treatment to 2 years, 26 cases (22.6%) were basically cured recently, 62 cases (54%) were improved, 18 (15.7%) were unchanged and 9 (7.8%) died. Intraspinal injection of effective 26/28 cases, non-spinal intubation effective 62/87 cases. The efficacy of each stage of tuberculous meningitis, early, middle and late efficiency of each 96.2%, 68.9% and 64%, the second two P <0.05, the difference was significant. Long-term follow-up of 48 cases, 36 cases were cured (75%), of which 17 cases of sequelae (47.2%), 12 patients died (25%). This article discusses the diagnosis, treatment and prognosis of tuberculous meningitis in children.