持续腰大池引流术在结核性脑膜炎治疗中的应用

doi:10.3969/j.issn.2095-3755.2018.03.016

摘要/Abstract

摘要：

结核性脑膜炎(简称“结脑”)是严重的肺外结核之一,是由结核分枝杆菌引起的脑膜非化脓性炎症。多年来,结脑除常规抗结核药物治疗、降颅内压、糖皮质激素及腰穿鞘内给药治疗外,尚无更先进的临床治疗方法。结脑的并发症及后遗症发生率高,死亡率高。近年来,持续腰大池引流在结脑患者中的应用,取得了较满意的疗效。笔者对持续腰大池引流在治疗结脑中的应用进行综述,旨在为临床治疗结脑提供有效的参照方案。

关键词: 结核, 脑膜, 脑脊髓液, 引流术, 治疗应用, 综述文献(主题)

Abstract:

Tuberculous meningitis is one of the most severe forms of extrapulmonary tuberculosis. In addition to routine anti-tuberculosis, intracranial pressure reduction, glucocorticoid and intrathecal administration, there are no more advanced clinical treatments. The incidence of complications of tuberculous meningitis is high, with often severe sequelae and even high mortality. In recent years, continuous lumbar drainage has been applied in patients with tuberculous meningitis and achieved satisfactory results. This paper reviews the application of continuous lumbar drainage in the treatment of tuberculous meningitis in order to provide an effective method for the treatment of tuberculous meningitis.

Key words: Tuberculosis, meningeal, Cerebrospinal fluid, Drainage, Therapeutic uses, Review (thematic)

陈宇,樊丽超,陈禹,朱雅娟. 持续腰大池引流术在结核性脑膜炎治疗中的应用[J]. 结核病与肺部健康杂志, 2018, 7(3): 221-224. doi: 10.3969/j.issn.2095-3755.2018.03.016

Yu CHEN,Li-chao FAN,Yu CHEN,Ya-juan ZHU. Continuous lumbar drainage in the treatment of tuberculous meningitis[J]. Journal of Tuberculosis and Lung Health, 2018, 7(3): 221-224. doi: 10.3969/j.issn.2095-3755.2018.03.016

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