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1.临床资料规定自结脑发病始1周内确诊者为早期诊断,超过此标准为误诊.误诊时间8～60天,平均20.2天.男66例,女63例.年龄8个月～68岁,平均26岁,其中0～4岁42例.误诊疾病:上呼吸道感染53例;发热、头痛原因待查18例;流脑、乙脑、病毒性脑膜炎、化脓性脑膜炎等15例;血管性、神经性头痛12例;消化不良9例;肺炎8例;其他14例.误诊医院均为综合性医院,其中乡镇医院69例(53.5%),县以上医院60例(46.5%).误诊原因;①对结脑的认识不足.患者首诊时虽有发热、头痛、恶心呕吐、部分伴有意识障碍,颈项强直等典型的结脑表现,但由于认识不足造成误诊.②早期症状不典型诊断困难,造成误诊.如有的患者仅有发热、精神不振,误诊为上呼吸道感染.有的仅
1 clinical data from the diagnosis of tuberculous brain onset within 1 week for the early diagnosis, more than this standard is misdiagnosed. Misdiagnosis time 8 to 60 days, an average of 20.2 days .66 males and 63 females .Ages 8 months to 68 Year old, average 26 years old, of which 42 cases were 0 to 4 years old. Misdiagnosis of the disease: upper respiratory tract infection in 53 cases; fever, headache due to be investigated in 18 cases; meningitis, Japanese encephalitis, viral meningitis, purulent meningitis in 15 cases , Vascular headache, neurogenic headache in 12 cases, dyspepsia in 9 cases, pneumonia in 8 cases and other cases in 14. The misdiagnosed hospitals were general hospitals, of which 69 cases were township hospitals (53.5%), 60 cases were hospitals above county level (46.5%), Misdiagnosis causes ① lack of knowledge about tuberculosis.While patients had fever, headache, nausea and vomiting in the first visit, some were associated with unconsciousness such as unconsciousness due to unconsciousness and cervical rigidity, etc. ② Early symptoms were not Typical diagnosis is difficult, resulting in misdiagnosis.If any patient only fever, lack of energy, misdiagnosed as upper respiratory tract infection.Other only