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目的 :探讨结核性脑膜炎早期诊断依据和确诊时间对治疗效果的影响。方法 :对 1993～ 1998年间住院后确诊为结核性脑膜炎的 42例患者进行回顾性分析。结果 :结核性脑膜炎以春秋季好发 ,女性多于男性。年龄多在40岁以下 (占 73 .81% )。以急性起病多见 (71.43% ) ,首发症状以头痛、发热为多数 (占 73.81% ) ,其中有夜间头痛者占 95 .2 4% ,所有患者脑膜刺激征均为阳性。脑脊液中蛋白升高与氯化物降低具有同等重要的意义。外周血白细胞总数与脑脊液中白细胞数量呈低度负相关。确诊时间越早 ,疗效越好。结论 :结核性脑膜炎的早期诊断需综合考虑发病年龄、起病形式、首发症状、体征及辅助检查。早期诊断有利于治疗
Objective: To investigate the early diagnosis of tuberculous meningitis based on the diagnosis and the timing of the treatment effect. Methods: Forty-two patients diagnosed as tuberculous meningitis after hospitalization from 1993 to 1998 were analyzed retrospectively. Results: Tuberculous meningitis occurred in spring and autumn, more women than men. More than 40 years of age (73 .81%). Acute onset more common (71.43%), the first symptom of headache, fever was the majority (73.81%), including night headache accounted for 95.24%, all patients with meningeal irritation were positive. Cerebrospinal fluid protein and chloride reduction is equally important significance. The total number of leukocytes in the peripheral blood was negatively correlated with the number of white blood cells in CSF. The earlier diagnosis, the better the effect. Conclusion: The early diagnosis of tuberculous meningitis need to take into account the age of onset, the onset form, the first symptom? My signs and auxiliary examination. Early diagnosis is beneficial to treatment