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成人结核性脑膜炎的诊断 (一)症状及体征 结脑典型的三期临床表现为: 1.前驱期 除一般结核中毒症状外,还表现有头痛和呕吐等,可持续1～3周。此期诊断比较困难,遇有可疑病例,应抓住微细症状,及时进行腰穿,争取早期作出诊断。 2.兴奋期 主要是脑膜刺激征及颅内增高的表现。除高热外,有剧烈头痛、喷射性呕吐、嗜睡或惊厥、大小便障碍、颈强直、克氏征阳性、视乳头水肿等,并可出现颅神经障碍、病理反射及肢体瘫痪。
Diagnosis and treatment of adult tuberculous meningitis (A) Symptoms and signs Cerebral TB typical clinical manifestations of phase III: 1. Pruritus in addition to the general symptoms of tuberculosis, but also showed headache and vomiting, and may last for 1 to 3 weeks. This diagnosis is more difficult, in case of suspicious cases, should seize the subtle symptoms, timely wear lumbar, for early diagnosis. 2. Excitability is mainly meningeal irritation and increased intracranial manifestations. In addition to high fever, there are severe headache, jet vomiting, drowsiness or convulsions, urine stool disorders, neck stiffness, positive Mark’s syndrome, papilledema, and may appear cranial nerve disorders, pathological reflex and limb paralysis.