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小儿结核性脑膜炎误诊22例分析
引用本文:秦锐连,徐月珍,陈光.小儿结核性脑膜炎误诊22例分析[J].中国当代医药,2013(4):146+148-146,148.
作者姓名:秦锐连  徐月珍  陈光
作者单位:广西壮族自治区桂平市人民医院
摘    要:【摘要】目的对小儿结核性脑膜炎的临床特点进行分析,以提高早期诊断率和降低误诊率。方法回顾性总结分析2007年7月~2011年12月本院误诊的22例结核性脑膜炎患儿的临床资料。结果本组22例误诊患儿中,治愈14例,好转5例,死亡3例。结论小儿临床医师应当正确认识小儿结核性脑膜炎的临床特征,尤其是早期临床表现,对可疑病例进行动态观察与多方面检查,并进行综合分析判断,以提高早期诊断率和降低误诊率。

关 键 词:结核性脑膜炎  小儿  误诊  临床特点

Analysis on misdiagnosis of tuberculous meningitis in 22 cases of children
Authors:QIN Ruilian  XU Yuezhen  CHEN Guang
Institution:Guiping People’s Hospital of Guangxi Zhuang Autonomous Region, Guiping 537200, China
Abstract:Objective To analyze the clinical characteristics of tuberculous meningitis in children for improving early diagnosis rate and reducing misdiagnosis rate. Methods Clinical data of 22 children suffering from tuberculous meningitis misdiagnosed by our hospital from July 2007 to December 2011 were made conclusion and analyzed retro- spectively. Results In 22 cases being misdiagnosed, 14 cases were cured, 5 cases got better, 3 cases died. Conclusion Pediatric clinicians should correctly understand the clinical characteristics of tuberculous meningitis in children, par- ticularly early clinical manifestations. And they should make dynamic observation and multifaceted check on equivocal cases, and make comprehensive analysis and judgment, in order to improve early diagnosis rate and reducing misdiag- nosis rate.
Keywords:Tuberculous Meningitis  Children  Misdiagnosis  Clinical characteristics
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