| 难治性真菌性脑膜炎3例并文献复习 |
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| 引用本文： | 齐雪姣,卜晖,邹月丽,杨建凯,赵银龙,何俊瑛. 难治性真菌性脑膜炎3例并文献复习[J]. 临床荟萃, 2019, 34(2): 154-157 |
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| 作者姓名： | 齐雪姣 卜晖 邹月丽 杨建凯 赵银龙 何俊瑛 |
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| 作者单位： | 河北医科大学第二医院神经内科,河北 石家庄,050000;河北医科大学第二医院神经外科,河北 石家庄,050000 |
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| 摘 要： | 目的分析难治性真菌性脑膜炎的诊治经过,进一步提高该病的诊治水平。方法回顾性分析3例难治性真菌性脑膜炎的诊治过程并文献复习。结果例1患者头痛、肢体无力,抗结核、抗病毒后效果不明显,通过多次腰椎穿刺,最终发现少见类型真菌,给予抗真菌药物后好转。例2患者头痛,脑脊液发现隐球菌,肺部CT示肺结核,联合给予抗真菌、抗结核后,临床症状有所缓解。例3患者头痛,脑脊液发现隐球菌,颅压高给予Ommaya囊植入,静脉窦血栓给予抗凝,联合抗真菌药物治疗后临床症状好转。结论难治性真菌性脑膜炎是一类预后差,病死率高的脑膜炎。早期诊断、积极治疗原发病、控制颅高压等是改善该病预后的关键。
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| 关 键 词： | 脑膜炎,真菌性 颅内高压 早期诊断 |
Refractory fungal meningitis:report of three cases and literature review |
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| Qi Xuejiao,Bu Hui,Zou Yueli,Yang Jiankai,Zhao Yinlong,He Junying. Refractory fungal meningitis:report of three cases and literature review[J]. Clinical Focus, 2019, 34(2): 154-157 |
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| Authors: | Qi Xuejiao Bu Hui Zou Yueli Yang Jiankai Zhao Yinlong He Junying |
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| Affiliation: | (Department of Neurology,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Neurosurgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China) |
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| Abstract: | Qi Xuejiao;Bu Hui;Zou Yueli;Yang Jiankai;Zhao Yinlong;He Junying(Department of Neurology,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Neurosurgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China) |
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| Keywords: | meningitis,fungal intracranial hypertension early diagnosis |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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