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结核病是危害人类健康的常见疾病之一。结核性脑膜炎(以下简称结脑)是较常见的严重的结核病之一,在神经系统结核病中发病率最高。此病常见于儿童,成人也不少见。有报告结核病病儿中发生结脑的占48.2%。据我院资料,20年收治结脑711例,占结核病住院总数5,457例的13.3%.典型结脑诊断并不困难,但由于对本病缺乏足够警惕,未作必要的检查,或由于病例不典型,虽作了有关检查仍未能确诊,也可延误诊断。本文主要就结脑的病理症候学和脑脊液细胞生化等方面的变化,对结脑与其它中枢神经系统疾病作一鉴别诊断。
Tuberculosis is one of the common diseases that endanger human health. Tuberculous meningitis (hereinafter referred to as knot brain) is one of the more common severe tuberculosis, the highest incidence of nervous system tuberculosis. This disease is common in children, adults are not uncommon. It was reported 48.2% of tuberculosis occurred in children with tuberculosis. According to our hospital data, 711 cases of tuberculosis were admitted to our hospital in 20 years, accounting for 13.3% of the total number of 5,457 cases hospitalized with tuberculosis .Typical tuberculous diagnosis is not difficult, but due to the lack of adequate vigilance, no necessary examination, or because the case is not Typical, although made the relevant inspection is still not diagnosed, but also delay diagnosis. This article focuses on the pathological symptoms of knot brain and cerebrospinal fluid cell biochemistry and other changes in the tuberculous and other central nervous system diseases make a differential diagnosis.