32例耐藥結核性腦膜炎的療效及預后分析
發(fā)布時間:2018-06-28 21:22
本文選題:結核性腦膜炎 + 耐藥。 參考:《華西醫(yī)學》2016年02期
【摘要】:目的分析耐藥結核性腦膜炎(TBM)的療效及預后。方法對2010年1月-2015年12月住院的32例成人耐藥TBM患者病歷資料進行回顧性分析并電話隨訪了解患者的預后情況,采用改良Rankin量表(m RS)對預后進行評分。結果 32例耐藥TBM患者中好轉31例(96.9%),治療無效死亡1例(3.1%)。治療后1例出現(xiàn)激素相關性青光眼及骨質疏松,1例出現(xiàn)藥物性庫欣綜合征。27例(84.4%)患者m RS評分≤2分。結論耐藥TBM早期診斷困難,經積極抗結核并輔助治療,療效滿意。
[Abstract]:Objective to analyze the curative effect and prognosis of drug resistant tuberculous meningitis (TBM). Methods the medical records of 32 adult TBM patients who were hospitalized from January 2010 to December 2015 were retrospectively analyzed and their prognosis was evaluated by modified Rankin scale (Mrs). Results among 32 patients with TBM, 31 cases (96.9%) were improved and 1 case (3.1%) died of ineffective treatment. After treatment, one patient developed hormone associated glaucoma and one patient with osteoporosis developed drug-induced Cushing syndrome. 27 patients (84.4%) had MRS 鈮,
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