【摘要】目的：总结住院结核性脑膜炎(简称结脑)病人的治疗情况，进一步提高诊疗水平。方法：对1997-2005年我所住院收治的62例结脑病例进行分析。结果：结脑病人占总住院病人的2.7%，其发病年龄青少年占48.4%(30例)，出现症状至就诊时间平均为37.5天；合并脑外结核占64.5%，结核中毒症状明显的平均占87.1%，头痛占93.5%，发热占88.7%，颈强占85.5%，呕吐占79.0%，伴有意识障碍及神经症状的占56.5%；高颅压占78.6%，脑脊液检查符合结脑阳性反应的平均占87.5%；经抗结核、降颅压、激素、脑细胞活化剂等综合治疗，好转出院的占87.1%，病情恶化死亡占6.5%。结论：结脑的预后取决于抗结核治疗的早期，以及开始治疗的方法正确与否。因此，更加提高早期的诊疗水平，才能有效地控制病死率和致残率的发生。

    【关键词】结核 结脑 早期诊断治疗

    62 cases of tuberculous meningitis in-patient treatment clinical analysis

    Pu Rilong1Wu Hongmei2

    【Abstract】Objective: To hospitalized tuberculous meningitis (the knot brain) patients, further improve the diagnosis and treatment. Method: In 1997-2005, I treated the patient for 62 cases of colorectal cases of cerebral analysis. Results: encephalopathy knot of people accounted for 2.7 percent of the total in-patients, the incidence of youngsters age accounted for 48.4 percent (30 cases), to medical symptoms for an average of 37.5 days; with cerebral tuberculosis accounted for 64.5 percent, tuberculosis poisoning symptoms, the average Accounted for 87.1 percent, accounting for 93.5 percent headache, fever accounted for 88.7 percent, occupying 85.5 percent neck, vomiting accounted for 79.0 percent,With disturbance of consciousness and neurological symptoms accounted for 56.5 percent; intracranial hypertension accounted for 78.6 percent, in line with cerebrospinal fluid examination of brain node-positive account for an average of 87.5 percent; by the anti-tuberculosis, reduced intracranial pressure, hormones, brain cells activated agent therapy, a turn for the better Accounted for 87.1 percent of the hospital, whose condition had deteriorated and death accounted for 6.5 percent. Conclusion: The prognosis depends on the brain knot of anti-tuberculosis treatment early, as well as the beginning of treatment in the right way or not. As a result, more to improve early diagnosis and treatment in order to effectively control the occurrence of disability and mortality. ......