41例结核性脑膜炎死亡原因分析及护理对策

目的：探讨重症结核性脑膜炎患者的护理方法。方法回顾分析41例结核性脑膜炎患者的死亡原因和护理经过。结果41例患者死于脑疝20例（48.78%），感染14例（34.15%），上消化道出血6例（14.63%），心跳骤停1例（2.44%）。结论积极做好基础、饮食、心理和用药护理，消除脑疝的诱发因素、有效地控制颅内压、预防医院感染及消化道大出血可以降低结核性脑膜炎的死亡率。

The analysis of the cause of death and nursing strategy in forty-one patients with tuberculosis meningitis

Objective To investigate the nursing strategy in patients with severe tuberculosis meningitis. Methods Retrospective analysis of the cause of death and nursing procedure in forty-one patients with tuberculosis meningitis. Results In forty-one patients, twenty cases died of cerebral hernia （48.78%）, fourteen cases of infection （34.15%）, six cases of upper gastrointestinal hemorrhage （14.63%）, one case of cardiac arrest （2.44%）. Conclusion Prompt the foundation, diet, psychological and medication nursing, eliminate the predisposing factors of cerebral hernia, control the intracranial pressure, prevent the hospital infection and gastrointestinal hemorrhage, which can reduce the mortality of tuberculosis meningitis.