| 中枢神经系统感染160例临床分析 |
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| 引用本文： | 奚敏,胡微微,朱明芬,潘庆春,臧国庆.中枢神经系统感染160例临床分析[J].临床误诊误治,2011,24(6):32-34. |
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| 作者姓名： | 奚敏 胡微微 朱明芬 潘庆春 臧国庆 |
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| 作者单位： | 上海交通大学附属第六人民医院感染科,上海,200233 |
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| 摘 要： | 目的探讨各类中枢神经系统感染的临床特点及治疗方法。方法对我院收治的中枢神经系统感染160例的临床资料进行回顾性分析。结果本组诊断为病毒性脑炎(病脑)80例,化脓性脑膜炎(化脑)37例,结核性脑膜炎(结脑)35例,隐球菌性脑膜炎(隐脑)8例。全部予甘露醇、甘油果糖脱水降颅压及对症治疗,其中148例治疗有效,复查脑脊液示化脑、病脑患者脑脊液均恢复正常;结脑患者脑脊液明显好转,糖基本恢复正常;隐脑患者脑脊液3次墨汁涂片检查(-),糖、氯化物基本正常,脑脊液真菌培养(-),乳胶凝集试验效价明显下降(1∶8~1∶320)。148例病情好转出院,其中10例遗留颅神经损害和脑积水;12例死亡,病死率7.5%。结论中枢神经系统感染需结合临床表现、脑脊液检查和治疗效果综合进行诊断,对疑似中枢神经系统感染但不能确诊者,可予诊断性治疗,以免延误最佳治疗时机。
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| 关 键 词： | 感染 中枢神经系统 病毒 结核 隐球菌属 |
Clinical Analysis of 160 Patients with CNS Infection |
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| XI Min,HU Wei-wei,ZHU Ming-fen,PAN Qing-chun,ZANG Guo-qing.Clinical Analysis of 160 Patients with CNS Infection[J].Clinical Misdiagnosis & Mistherapy,2011,24(6):32-34. |
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| Authors: | XI Min HU Wei-wei ZHU Ming-fen PAN Qing-chun ZANG Guo-qing |
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| Affiliation: | XI Min,HU Wei-wei,ZHU Ming-fen,PAN Qing-chun,ZANG Guo-qing(Department of Infectious Disease,the 6th People's Hospital of Shanghai Jiaotong University,Shanghai 200233,China) |
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| Abstract: | Objective To analyze the clinical characteristics and treatment of different types of central nervous system(CNS) infection.Methods The clinical data of 160 patients with CNS infection were retrospectively analyzed.Results Among the 160 patients,80 were viral meningitis(VM),37 purulent encephalitis(PE),35 tuberculous meningitis(TBM) and 8 cryptococcal meningitis(CM).All the patients received Mannitol and Glycericen and fructose for dehydration and releasing ICP and symptomatic treatment,and the treatment wa... |
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| Keywords: | Infection Central nervous system Viral Tuberculous Cryptococcal |
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