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小儿结核性脑膜炎由于起病症状常不典型,在早期易误诊或漏诊,现将我院几例误诊情况分析如下: 1 临床资料 误诊疾病有:误诊为病毒性脑炎,化脓性脑膜炎,流行性乙型脑炎,急性胃肠炎,上呼吸道感染,低钙抽搐。 例1,女,1岁。因不规则发热10d,伴间断抽搐4d入院,否认有结核病接触史,无BCG接种史。查体:T 38℃,嗜睡,颈稍抵抗,心脏、腹未见异常,克氏征(+),布氏征(+),胸片x线未见异常。脑脊液稍混,压力正常,WBC0.
Children with tuberculous meningitis due to onset symptoms are often atypical early misdiagnosis or missed diagnosis, now several cases of misdiagnosis in our hospital are as follows: 1 clinical data misdiagnosed diseases are: misdiagnosed as viral encephalitis, purulent meningitis, Epidemic encephalitis, acute gastroenteritis, upper respiratory tract infection, low calcium convulsion. Example 1, female, 1 year old. Due to irregular fever 10d, with intermittent convulsions 4d admission, denied a history of exposure to TB, BCG vaccination without history. Physical examination: T 38 ℃, lethargy, neck slightly resistance, heart, abdomen no abnormalities, Kirschner Sign (+), Brinell sign (+), chest X-ray showed no abnormalities. Cerebrospinal fluid mixed slightly, normal pressure, WBC0.