成人结核性脑膜炎47例临床分析

目的 探讨结核性脑膜炎的诊断和治疗与预后的关系。方法 对43例结核性脑膜炎的临床资料进行回顾性分析。结果 结核性脑膜炎由于临床症状和脑脊液检查等不典型易于误诊，延误治疗常使患遗有神经系统的后遗症，而治疗不正规或过早停药常易导致治疗失败。结论 早期诊断、早期治疗，坚持有规律用药和足够长的疗程及适当的应用激素能有效提高患的存活率，防止后遗症。

The clinical analysis of tuberculous meningitis in 47 cases of abult patients

Objective To study the relationship between the diagnosis and treatment and prognosis of tuberculous meningitis.Methods The clinical data of 47 patients with tuberculous meningitis were analysed retrosperctively.Results Because of the clinical manifestation and the cerebrospinal fluid in early stage being atypical,the diagnosis was not usually established.The delayed treatment made the sequelae of nervous system occured.The informal treatment or stopping the medicine early often lead to the failure of the treatment.Conclusion Early diagnosis and treatment,regular administration,long treatment and using dexamethasone in suitable dose can improve the survival rate and prevent the sequelae.