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结核性脑膜炎与化脓性脑膜炎的CT鉴别诊断 被引量:4

COMPARATIVE NALYSIS OF CT SCANNING IN PATIENTS WITH TUBERCULOUS AND BACTERIAL MENINGITIS
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摘要 分析23例结核性脑膜炎,33例化脓性脑膜炎的CT表现。认为以基底池改变为主如脑底池闭塞,强化,密度增高和/或伴不同程度大脑凸面脑膜强化,脑积水等应考虑结脑;以大脑凸面脑膜强化为主,基底地清楚,伴脑积水,尤其伴多发脑脓肿在硬膜下积脓时应考虑化脑。 anifestations of CT in 23 cases of tuberculous meningms and 33 cases of bacterialmeningitis were compared.Tuberculous meningitis CT appearance was primary change of ex-udates in basal cisterns(obliteration,exudation,enhancement,high density)and/or associatedsupermeninges enhancement,hydrocephalus,especially parenchymal tuberculous,tuberculousabscess and ischemic infarction,Bacterial meningitis was of main change of supermeningesenhancement, not exudation in basal cisterns and/or associated hydrocephalus,multi-parenchymal abscess, Both differences mainly were basal cistern exudation and meninges en-hancement(P<0.01)。
出处 《湖南医科大学学报》 CSCD 1994年第1期54-56,共3页 Bulletin of Hunan Medical University
关键词 脑膜炎 结核性 化脓性 CT 鉴别诊断 tuberculosis,meningeal meningitis diagnosis tomography, X-raycomputed
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