摘要
目的观察脑脊液置换术并鞘内注药治疗结核性脑膜炎的临床疗效。方法对无腰穿禁忌症的18例结核性脑膜炎在常规药物治疗的基础上,采取脑脊液置换术并鞘内注药进行治疗。结果18例患者治疗后脑脊液脑压力、蛋白水平以及白细胞计数明显降低(P<0.01),而脑脊液氯化物和糖水平明显升高(P<0.01),差异有显著性。13例痊愈,4例好转,自动出院1例,临床效果较为满意。结论对结核性脑膜炎辅以脑脊液置换术并鞘内注药有助于提高临床疗效,是一种安全有效的方法。
Objective To investigate the clinical therapeutic effect of CSF replacement combined intrathecal drug administration in patients with tuberculous meningitis. Method Eighteen cases were treated with CSF replacement combined intrathecal injection. Results Thirteen cases cured, 4 cases improved, and the other one was gave up. The CSF pressure, protein level and WBC count were significantly decreased, while chloride and glucose level of CSF were significantly increased. Conclusion The CSF replacement combined with intrathecal injection is effective and safe in tuberculous meningitis chemotherapy.
出处
《实用预防医学》
CAS
2007年第4期1187-1188,共2页
Practical Preventive Medicine
关键词
结核性脑膜炎
脑脊液置换术
鞘内注药
CSF replacement
Tuberculou smeningitis
Intrathecal injection
