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儿童中枢神经系统感染治疗疗程与腰椎穿刺检查系列建议之三——结核性脑膜炎治疗疗程与腰椎穿刺检查建议

2020-03-15 中华医学会儿科学分会神经学组 中国实用儿科杂志.2020,35(1):7-9.

中枢神经系统感染是儿童神经系统常见疾病,也是临床住院的常见病种;中枢神经系统感染的病原以细菌和病毒感染较为常见,而结核菌、真菌、支原体感染相对少见;不同病原的中枢神经系统感染临床上有其共性表现又有不同

中文标题:

儿童中枢神经系统感染治疗疗程与腰椎穿刺检查系列建议之三——结核性脑膜炎治疗疗程与腰椎穿刺检查建议

发布日期:

2020-03-15

简要介绍:

中枢神经系统感染是儿童神经系统常见疾病,也是临床住院的常见病种;中枢神经系统感染的病原以细菌和病毒感染较为常见,而结核菌、真菌、支原体感染相对少见;不同病原的中枢神经系统感染临床上有其共性表现又有不同病原感染疾病的特点;中枢神经系统感染的诊断包括病原学确诊或临床疑诊;不同的治疗转归其治疗疗程或腰穿检查与复查时间均缺乏研究性证据,困扰临床一线工作。

结核性脑膜炎(结脑,tuberculous meningitis,TBM)是由结核分枝杆菌引起的脑膜非化脓性炎症,常累及蛛网膜、脑实质以及脑血管等。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=971728, encodeId=1f239e17280e, content=认真学习,需要收藏, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210608/51c7a6ec823b48b0a2e6ce6b33750a4d/eed743a7daa04521992a517ea31bd518.jpg, createdBy=fa565516283, createdName=姜暮烟齐, createdTime=Tue Jun 08 09:21:07 CST 2021, time=2021-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=963533, encodeId=130b96353349, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=50355385594, createdName=小小小小儿科, createdTime=Fri May 07 22:39:13 CST 2021, time=2021-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894539, encodeId=07ff89453966, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=164, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=50355385594, createdName=小小小小儿科, createdTime=Mon Oct 26 15:13:03 CST 2020, time=2020-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=880473, encodeId=f92a8804e35f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55e32466096, createdName=12429b4fm96暂无昵称, createdTime=Fri Aug 28 22:48:23 CST 2020, time=2020-08-28, status=1, ipAttribution=)]
    2021-06-08 姜暮烟齐

    认真学习,需要收藏

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=971728, encodeId=1f239e17280e, content=认真学习,需要收藏, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210608/51c7a6ec823b48b0a2e6ce6b33750a4d/eed743a7daa04521992a517ea31bd518.jpg, createdBy=fa565516283, createdName=姜暮烟齐, createdTime=Tue Jun 08 09:21:07 CST 2021, time=2021-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=963533, encodeId=130b96353349, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=50355385594, createdName=小小小小儿科, createdTime=Fri May 07 22:39:13 CST 2021, time=2021-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894539, encodeId=07ff89453966, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=164, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=50355385594, createdName=小小小小儿科, createdTime=Mon Oct 26 15:13:03 CST 2020, time=2020-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=880473, encodeId=f92a8804e35f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55e32466096, createdName=12429b4fm96暂无昵称, createdTime=Fri Aug 28 22:48:23 CST 2020, time=2020-08-28, status=1, ipAttribution=)]
    2021-05-07 小小小小儿科

    学习

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    2020-10-26 小小小小儿科

    学习

    0

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    2020-08-28 12429b4fm96暂无昵称

    学习

    0

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