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不同病期小儿结核性脑膜炎神经影象学改变与临床的关系
引用本文:李光乾,胡鸿文,叶秀云,林忠东,赵建伟,何大可. 不同病期小儿结核性脑膜炎神经影象学改变与临床的关系[J]. 临床儿科杂志, 2003, 21(3): 156-158
作者姓名:李光乾  胡鸿文  叶秀云  林忠东  赵建伟  何大可
作者单位:温州医学院育英儿童医院,浙江温州,325027;温州医学院育英儿童医院,浙江温州,325027;温州医学院育英儿童医院,浙江温州,325027;温州医学院育英儿童医院,浙江温州,325027;温州医学院育英儿童医院,浙江温州,325027;温州医学院育英儿童医院,浙江温州,325027
摘    要:为了解不同病期结核性脑膜炎(TM)患儿的头颅CT、MRI改变及与临床的关系,对91例不同病期TM患儿的头颅CT、MRI及临床进行分析。结果头颅CT检查67例,异常58例,异常率为86.6%;头颅MRI检查38例,异常35例,异常率为92.1%。CT改变特点与MRI基本一致,早期公为脑池改变或轻度脑实质低密度影;中期则发展为脑水肿、脑积水;晚期可见脑实质低密度、混杂高密度影及脑池受压、闭塞、粘连等。临床疗效良好者影像学改变轻,疗效差者影像学改变重。提示CT、MRI检查,尤其MRI对TM的诊断、病期和预后判定有重要意义。

关 键 词:结核性脑膜炎  CT MRI  儿童
修稿时间:2002-01-30

The relationship between the dynamic changes of the cranial CT and MRI image and clinical presentation in the different stage of tuberculous meningitis in children
Li Guangqian,Hu Hongwen,Ye Xiuyun,Lin Zhongdong,Zhao Weijian,He Dake.Yuying Children's Hospital affiliated to Wenzhou Medical College,Wenzhou,Zhejiang. The relationship between the dynamic changes of the cranial CT and MRI image and clinical presentation in the different stage of tuberculous meningitis in children[J]. The Journal of Clinical Pediatrics, 2003, 21(3): 156-158
Authors:Li Guangqian  Hu Hongwen  Ye Xiuyun  Lin Zhongdong  Zhao Weijian  He Dake.Yuying Children's Hospital affiliated to Wenzhou Medical College  Wenzhou  Zhejiang
Affiliation:Li Guangqian,Hu Hongwen,Ye Xiuyun,Lin Zhongdong,Zhao Weijian,He Dake.Yuying Children's Hospital affiliated to Wenzhou Medical College,Wenzhou,Zhejiang325027
Abstract:
Keywords:tuberculous meningitis CT MRI children
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