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我院于1987年至1989年在全身抗痨药治疗的基础上,采用地寒米松鞘注辅助治疗结核性脑膜炎15例,报告如下。1 临床资料男6例,女9例,年龄15～56岁。单纯性结脑12例,结脑合并肺结核、结核性胸膜炎3例。病人入院时均有不同程度的头痛、呕吐、发热、脑膜刺激征(+),脑压平均为2.26kPa,C、S、F、符合结脑改变。应用全身抗痨药物及甘露醇、激素等治疗后,高颅压症状无改善,采用地塞米松鞘注后高颅压症状消失,脑脊液压力下降。2 治疗方法及效果地塞米松2～5mg,隔日一次腰穿鞘
Our hospital from 1987 to 1989 in the body of anti-tuberculosis treatment based on the use of paekshuterin sheath injection in the treatment of 15 cases of tuberculous meningitis, the report is as follows. 1 clinical data of 6 males and 9 females, aged 15 to 56 years old. Simple knot brain 12 cases, tuberculosis brain tuberculosis, tuberculous pleurisy in 3 cases. Patients admitted to hospital had varying degrees of headache, vomiting, fever, meningeal irritation sign (+), an average of 2.26 kPa intracranial pressure, C, S, F, consistent with changes in the brain junction. Application of systemic anti-tuberculosis drugs and mannitol, hormones and other treatment, no improvement of symptoms of intracranial hypertension, dexamethasone sheath injection of symptoms disappeared after intracranial hypertension, cerebrospinal fluid pressure decreased. 2 treatment and effect Dexamethasone 2 ~ 5mg, lumbar puncture every other day