Chinese Journal of Antituberculosis ›› 2019, Vol. 41 ›› Issue (1): 36-41.doi: 10.3969/j.issn.1000-6621.2019.01.009
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Mai-ling HUANG1,*,Yan MA2,Gui-rong WANG1,Dai-lun HOU1,Jun-lan FENG3,Li-qun ZHANG1,Meng-qiu GAO1(),Qi LI2()
Received:
2018-10-24
Online:
2019-01-10
Published:
2019-01-09
Contact:
Mai-ling HUANG
E-mail:gaomqwdm@aliyun.com;lq0703@hotmail.com
Mai-ling HUANG,Yan MA,Gui-rong WANG,Dai-lun HOU,Jun-lan FENG,Li-qun ZHANG,Meng-qiu GAO,Qi LI. The screening value of cranial MR enhancement scan for tuberculous meningitis in patients with acute hematogenous disseminated pulmonary tuberculosis[J]. Chinese Journal of Antituberculosis, 2019, 41(1): 36-41. doi: 10.3969/j.issn.1000-6621.2019.01.009
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URL: http://www.zgflzz.cn/EN/10.3969/j.issn.1000-6621.2019.01.009
诊断标准 | 评分(最高20分) |
---|---|
临床检查标准 | 最高6分 |
病程>5d | 4分 |
结核中毒症状:体质量下降、盗汗、或者>2周的咳嗽(至少具备1项) | 2分 |
近期有与结核病患者的接触史 | 2分 |
局灶性神经损害(除外脑神经麻痹) | 1分 |
脑神经麻痹 | 1分 |
意识障碍 | 1分 |
脑脊液检查标准 | 最高4分 |
外观清亮 | 1分 |
白细胞数10~500个/μl | 1分 |
淋巴细胞比率>50% | 1分 |
蛋白含量>1g/L | 1分 |
脑脊液/血浆葡萄糖比值<0.5或脑脊液葡萄糖<2.2mmol/L | 1分 |
影像学检查标准 | 最高4分 |
脑积液 | 1分 |
基底部脑膜强化 | 2分 |
结核瘤 | 2分 |
梗死灶 | 1分 |
增强前基底膜呈高密度(CT表现) | 2分 |
神经系统以外的结核证据 | 最高4分 |
胸片显示除急性血行播散性肺结核以外的活动性结核病征象 | 2分 |
胸片显示急性血行播散性肺结核征象 | 4分 |
CT和(或)MR和(或)超声检查显示CNS之外的结核证据 | 2分 |
CNS以外标本抗酸染色阳性或分枝杆菌培养阳性 | 4分 |
CNS以外标本结核分枝杆菌核酸检测阳性 | 4分 |
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