84 cases clinical analysis of tuberculous meningitis.docVIP

 PAGE \* MERGEFORMAT 10 84 cases clinical analysis of tuberculous meningitis [Abstract] Objective of tuberculous meningitis (referred to tuberculous meningitis) in clinical analysis, improve the diagnosis and treatment. Methods 84 patients with tuberculous meningitis were retrospectively reviewed medical records. Results in 84 patients were male and 40 cases, female 44 cases; pathogenic examination positive cases in 9 cases (11%), of which 3 cases of CSF smear positive, culture positive in 6 cases; clinical onset mostly subacute and chronic onset; there were 23 cases (27%) with previous TB or contact history of tuberculosis; 26 cases (31%) while incidence of tuberculous meningitis with tuberculosis; clinical manifestations in 79 cases of fever (94%), headache 65 cases (77%), disturbance of consciousness, 56 cases (67%), meningeal irritation in 53 cases (63%), 25 patients (30%) with cranial nerve damage; lumbar puncture showed elevated cerebrospinal fluid pressure in 51 cases (61%), cerebrospinal fluid leukocyte to lymphocyte predominance in 77 cases (92%), 59 (70%), proteingt; 1. 5g / L, 52 patients (62%) glucose lt;2. 5mmol / L, 61 patients (73%) chloride lt;120mmol / L; 68 cases (81%) imaging in patients with nervous system have abnormal findings, meningeal thickening and ventricular expansion, hydrocephalus and cerebral infarction is most common. All patients were receiving anti-tuberculosis and steroid treatment, 2 cases .66 lateral external drainage (79%) patients condition improved and was discharged 2 cases of transfer of Neurosurgery, 11 patients were discharged, and 5 died. Conclusions The diagnosis of tuberculous meningitis depend on epidemiology, clinical features, cerebrospinal fluid, and imaging characteristics. difficulties in the diagnosis and effective treatment of TB diagnostic help diagnosis. [Keywords:] tuberculous meningitis; diagnosis; treatment; retrospective analysis Recent years due to the emergence of a large number of resistan