中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
5期
131-132
,共2页
结核性脑膜炎%不典型%早期诊断
結覈性腦膜炎%不典型%早期診斷
결핵성뇌막염%불전형%조기진단
Tuberculous meningitis%Atypical%Early diagnosis
目的：分析结核性脑膜炎的临床表现、发病特点，以提高对临床症状不典型的结核性脑膜炎的早期诊断水平。方法：对我院2011年1月-2012年9月收治的55例脑炎患者进行回顾性分析。结果：由于结脑早期症状表现多样化、复杂化，症状的不典型及对结脑患者过去或现在有肺内外结核病史或症状的不够重视，本组资料中早期诊断者仅54.2%。结论：结脑早期诊断是多学科的综合课题，临床医师除具备扎实的基本功外，对实验室的新技术、新进展，以及影像诊断学知识的了解，这样才能不断提高本病的早期诊断率。
目的：分析結覈性腦膜炎的臨床錶現、髮病特點，以提高對臨床癥狀不典型的結覈性腦膜炎的早期診斷水平。方法：對我院2011年1月-2012年9月收治的55例腦炎患者進行迴顧性分析。結果：由于結腦早期癥狀錶現多樣化、複雜化，癥狀的不典型及對結腦患者過去或現在有肺內外結覈病史或癥狀的不夠重視，本組資料中早期診斷者僅54.2%。結論：結腦早期診斷是多學科的綜閤課題，臨床醫師除具備扎實的基本功外，對實驗室的新技術、新進展，以及影像診斷學知識的瞭解，這樣纔能不斷提高本病的早期診斷率。
목적：분석결핵성뇌막염적림상표현、발병특점，이제고대림상증상불전형적결핵성뇌막염적조기진단수평。방법：대아원2011년1월-2012년9월수치적55례뇌염환자진행회고성분석。결과：유우결뇌조기증상표현다양화、복잡화，증상적불전형급대결뇌환자과거혹현재유폐내외결핵병사혹증상적불구중시，본조자료중조기진단자부54.2%。결론：결뇌조기진단시다학과적종합과제，림상의사제구비찰실적기본공외，대실험실적신기술、신진전，이급영상진단학지식적료해，저양재능불단제고본병적조기진단솔。
Objective:Analysis of the clinical manifestations of tuberculous meningitis, disease characteristics, in order to improve the early diagnosis of atypical of tuberculous meningitis. Methods: From January 2011 to September 2012 in hospital, 55 cases of encephalitis patients were treated and analyzed retrospectively. Results:Because of tuberculous meningitis early symptoms, manifested as diverse and complex, as well as not pay enough attention to the tuberculous meningitis history and atypical symptoms of patients, in this group of early diagnosis in only 54.2%.Conclusion: Early diagnosis of tuberculous meningitis is the subject of a comprehensive multi-disciplinary, clinicians addition to solid basic skills, it also needs to understand the new technology lab, new developments and diagnostic imaging knowledge, so as to continuously improve the early diagnosis of this disease.
