CAJ | 학술논문

目的：探讨结核性脑膜炎的临床特点，为诊断和治疗结核性脑膜炎提供临床依据，避免漏诊误诊。方法选取2010年11月～2014年2月于本院进行治疗的62例结核性脑膜炎患者，回顾性分析患者的临床资料。结果结核性脑膜炎的临床表现主要为发热、头痛、脑膜刺激征等；脑脊液检查提示白细胞和白蛋白升高，葡萄糖和氯化物低，及颅内压增高为主要特征；大部分患者合并颅外结核；早期诊断患者预后良好。结论早期诊断、早期治疗对于结核性脑膜炎患者的预后十分重要，可降低病死率和致残率，临床医师应提高对结核性脑膜炎临床特点的认识。
목적：탐토결핵성뇌막염적림상특점，위진단화치료결핵성뇌막염제공림상의거，피면루진오진。방법선취2010년11월～2014년2월우본원진행치료적62례결핵성뇌막염환자，회고성분석환자적림상자료。결과결핵성뇌막염적림상표현주요위발열、두통、뇌막자격정등；뇌척액검사제시백세포화백단백승고，포도당화록화물저，급로내압증고위주요특정；대부분환자합병로외결핵；조기진단환자예후량호。결론조기진단、조기치료대우결핵성뇌막염환자적예후십분중요，가강저병사솔화치잔솔，림상의사응제고대결핵성뇌막염림상특점적인식。
Objective To investigate the clinical characteristics of tuberculous meningitis, and provide the clinical basis for the diagnosis and therapy of tuberculous meningitis, for avoiding misdiagnosis and missed diagnosis. Methods From November 2010 to February 2014, 62 cases with meningitis were selected in Liaoyang City tuberculosis hospital, a retrospective analysis of clinical data of patients were carried out. Results The main clinical manifestations of tuberculous meningitis were fever, headache and meningeal irritation sign. The cerebrospinal fluid examination of the patients suggested that white blood cells and albumin increased, glucose and chloride were low, and intracranial pressure were increased. Most of the patients had extracranial tuberculosis. The patients who got early diagnosis had better prognosis. Conclusion Early diagnosis and early treatment for tuberculous meningitis patiets are very important, which can reduce the fatality rate and mutilation rate. Clinicians should improve the understanding of the clinical characteristics of tuberculous meningitis.