25 cases of tuberculous meningitis diagnosis and treatment of_0.docVIP

 PAGE \* MERGEFORMAT 6 25 cases of tuberculous meningitis diagnosis and treatment of [Abstract] Objective To summarize the current diagnosis of tuberculous meningitis and treatment experience. Methods 25 cases of tuberculous meningitis were retrospectively analyzed. Results of tuberculous meningitis clinical manifestations and CSF features of nonspecific Clinical diagnosis depends mainly on the comprehensive clinical data physicians judge to “early combination of anti-TB drugs, corticosteroids, critically ill patients with intrathecal injections,” based comprehensive treatment program a significant effect. Conclusion tuberculous meningitis is of extrapulmonary tuberculosis The most serious type, early diagnosis and standard treatment is to improve the cure rate and reduce the sequelae of the key. [Keywords:] TB meningitis; treatment Clinical manifestations of tuberculous meningitis is not typical easy to misdiagnosis. We are 25 cases of tuberculous meningitis were analyzed. 1 Materials and Methods 1.1 General Information The 25 cases, 14 cases were male and 11 female patients, aged from 12 to 76 years old, onset to treatment time 1d ~ 6 months, the average hospital stay of 16 days. 1.2 Clinical manifestations Fever in 9 cases (36%), headache in 21 cases (84%), vomiting in 16 cases (64%), disturbance of consciousness in 6 (24%), cranial nerve damage in 3 cases (12%), meningeal irritation sign in 14 cases (56%), pulmonary tuberculosis in 11 patients (44%). 1.3 auxiliary examination Lumbar puncture were done in 25 patients examination, cerebrospinal fluid pressuregt; 200mmH2O18 cases (72%), 1 case of normal cells and abnormal in 24 patients (accounting for 96%), 10 ~ 910 106 / L, lymphocytes are increased as Lord, 25 cases of sugar, chlorides are reduced (100%), protein and blood in 24 patients (accounting for 96%), 0.56 ~ 2.4g / L, acid-fast staining were negative. This group has the head imaging, 4 cases in which MRI scan, head CT