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101例疑似颅内感染患者的病因特征及脑脊液异常表现

[Etiological features and abnormal cerebrospinal fluid findings in 101 patients with suspected intracranial infections].

作者信息

Deng G H, Wang A X

机构信息

Department of Medicine, PUMC Hospital, Beijing.

出版信息

Zhonghua Nei Ke Za Zhi. 1994 Dec;33(12):806-8.

PMID:7768136
Abstract

101 patients (44 males, 57 females) with suspected intracranial infections were admitted to PUMC Hospital from 1988 to 1993. Their age ranged from 16 to 65 years (mean 29). Based on etiological categories, viral meningitis or encephalitis was diagnosed in 37.6% of the patients, purulent meningitis in 20.8%, tuberculous meningitis in 19.8%, cryptococcal meningitis in 5.9%, cerebral cysticercosis in 5.9%, infections of unknown etiology in 5.0%, and noninfectious diseases in 4.0%. During hospitalization, the mortality rate for cryptococcal, tuberculous and purulent meningitis was 33.3%, 20.0% and 14.3% respectively. This study also showed that cerebrospinal fluid examination was helpful for etiological analysis or differential diagnosis of intracranial infections.

摘要

1988年至1993年期间,101例疑似颅内感染患者(44例男性,57例女性)入住北京协和医院。他们的年龄在16岁至65岁之间(平均29岁)。根据病因分类,37.6%的患者被诊断为病毒性脑膜炎或脑炎,20.8%为化脓性脑膜炎,19.8%为结核性脑膜炎,5.9%为隐球菌性脑膜炎,5.9%为脑囊虫病,5.0%为病因不明的感染,4.0%为非感染性疾病。住院期间,隐球菌性、结核性和化脓性脑膜炎的死亡率分别为33.3%、20.0%和14.3%。本研究还表明,脑脊液检查有助于颅内感染的病因分析或鉴别诊断。

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