[脑膜刺激征]

[Meningeal irritation].

作者信息

Dijcks Rob, Derks Marloes, Verwijnen Maarten, de Jongh Tjeerd O H

机构信息

Maastricht Universitair Medisch Centrum, Skillslab, Maastricht, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2011;155(18):A2661.

PMID:21466719

Abstract

Diagnosing meningitis requires the information from both history-taking and physical examination in its entirety. In adults with a history that makes meningitis a possibility, specific tests used to diagnose meningeal irritation, such as for Kernig or Brudzinski signs or nuchal rigidity, probably do not affect the reliability of the diagnosis. In small children and the elderly, Kernig and Brudzinski signs are also probably of little or no diagnostic value.

摘要

诊断脑膜炎需要全面获取病史和体格检查的信息。对于有脑膜炎可能病史的成年人，用于诊断脑膜刺激征的特定检查，如克尼格征、布鲁津斯基征或颈项强直检查，可能不会影响诊断的可靠性。对于小儿和老年人，克尼格征和布鲁津斯基征可能也几乎没有诊断价值或完全没有诊断价值。