Irfan A, Qureshi A
Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi.
J Pak Med Assoc. 1995 Feb;45(2):37-8.
Thirty-two patients with post-tuberculous meningitic hydrocephalous were admitted. Thirty were subjected to ventriculoperitoneal shunt. Diagnosis was based on CSF analysis and CT scan. Five patients at a Glasgow Coma Score of 3-7 underwent an external ventricular drainage as an initial procedure followed by shunt in 3 patients when condition improved, 17 patients who were conscious at the time of admission made good recovery as compared to 13 patients with altered consciousness who either died (5 patients), or were disabled (8 patients) even after surgery. A mortality of 22% was noted. An early detection and referral is desired to improve the prognosis.
收治了32例结核性脑膜炎后脑积水患者。其中30例行脑室腹腔分流术。诊断基于脑脊液分析和CT扫描。5例格拉斯哥昏迷评分为3 - 7分的患者首先接受了脑室外引流,3例病情改善后接受了分流术。17例入院时意识清醒的患者恢复良好,相比之下,13例意识改变的患者术后要么死亡(5例),要么致残(8例)。死亡率为22%。早期发现和转诊有助于改善预后。