CAJ | 학술논문

目的探讨结核性脑脓肿有效的内科药物治疗方案组合、疗程以及疗效判断.方法回顾广州市胸科医院近年收治的10例结核性脑脓肿患者,按初、复治方案原则抗结核药物治疗、配合鞘内注射异烟肼,并进行临床疗效分析.结果初治6例复治4例患者经抗结核治疗后,影像学上表现为脑脓肿病灶周围水肿带消失、病灶完全吸收2例,基本吸收4例,明显吸收2例,有吸收1例,1例(因耐多药)吸收不明显.结论对结核性脑脓肿应早期进行有效的抗结核内科治疗,常可使有潜在致命危险的患者成为可治愈的、并减少外科手术的可能.
목적 탐토결핵성뇌농종유효적내과약물치료방안조합、료정이급료효판단.방법 회고엄주시흉과의원근년수치적10례결핵성뇌농종환자,안초、복치방안원칙항결핵약물치료、배합초내주사이연정,병진행림상료효분석.결과 초치6례복치4례환자경항결핵치료후,영상학상표현위뇌농종병조주위수종대소실、병조완전흡수2례,기본흡수4례,명현흡수2례,유흡수1례,1례(인내다약)흡수불명현.결론 대결핵성뇌농종응조기진행유효적항결핵내과치료,상가사유잠재치명위험적환자성위가치유적、병감소외과수술적가능.
Objective To explore an effective therapeutic scheme,courses of treatment,and efficacy judgment for tubercular brain abscesses.Methods The data on ten patients with tubercular brain abscesses who had been treated in our hospital in recent years were retrospectively analyzed.All the patients received antituberculotic chugs according to the initial treatment or retreatment schemes and also received intrathecal injections of isoniazid.The clinical efficacy was then analyzed.Results Ten patients included six with initial treatment and four with retreatment.After antituberculotic treatment,lesions of brain abscesses and edema around brain abscesses were disappeared completely in two patients,and lesions of brain abscesses were almost absorbed completely in four patients,and there were obvious absorption in two patients and slight absorption in one.But absorption was not obvious in one patient because of multidrug-resistant tuberculosis.Conclusions Effective antituberculotic treatment should be taken early in patient with tuberculous brain abscesses.It often can cure patients with potentially fatal danger and reduce the possibility of surgery.