[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$feURqAZxMDJs02-9JNG5lZf0riLEEL3XOIg38_A4lICM":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":47},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":43},911,"老年人结核性脑膜炎"," 老年人结核性脑膜炎治疗与预防指南\n"," 老年人结核性脑膜炎, 结核性脑膜炎症状, 老年人脑膜炎, 结核性脑膜炎治疗, 结核性脑膜炎预防, 老年人健康, 脑膜炎识别\n"," 了解老年人结核性脑膜炎的症状、治疗和预防方法。本指南提供详细的信息，帮助您更好地识别和应对老年人结核性脑膜炎，确保老年人健康。",[18,23,28,33,38],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},157616,"概述","\u003Cp>　　结核性脑膜炎(tuberculous meningitis)简称结脑，是由MTB侵犯脑膜引起的非化脓性炎症。为全身播散性粟粒型结核的一部分，也可继发于肺、淋巴结、骨骼或泌尿系统等结核病灶引起的菌血症。此外，MTB还可以从颅骨或脊椎的结核病灶直接破入颅内或椎管内引起结核性脑膜炎。MTB侵入中枢神经系统血流后能否发病与侵入MTB的数量、毒力的强弱和机体的反应性及抵抗力有密切关系。临床根据主要病理改变和侵及的范围分为单纯脑膜炎型、颅底粘连脑膜炎型、脑膜脑炎型、脊髓型。结核性脑膜炎多见于儿童，但目前约半数以上的患者为成人。成人结脑中3/4有成人原发灶存在。结脑病死率在15%～30%。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},157617,"病因","\u003Cp>　　(一)发病原因\u003C/p>\u003Cp>　　结核性脑膜炎(tuberculous meningitis)是由结核杆菌引起的非化脓性脑膜炎，常伴发于身体其他部位的原发结核感染，尤其是肺结核和急性粟粒性结核，其他如淋巴结核、肠结核、骨结核、肾结核等亦可伴发。\u003C/p>\u003Cp>　　(二)发病机制\u003C/p>\u003Cp>　　结脑多由于结核复发及脑膜附近的干酪病灶播散所致，粟粒性结核时结核杆菌可随血行播散到脑膜。主要病理改变为脑膜广泛性慢性炎症反应，蛛网膜下腔尤其是脑基底池充满黏稠的渗出物，阻塞脑脊液循环通路引起脑积水及颅内压增高。血管亦有炎症反应及血栓形成致脑梗死。\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},157618,"症状","\u003Cp>　　常见症状：发热、头痛、呕吐、全身乏力、食欲不振、精神差、脑膜刺激征阳性、复视、肢体瘫、昏迷、癫痫发作、脑疝\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},157619,"检查","\u003Cp>　　检查项目：皮肤结核菌素试验、CT、MRI、血常规\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},157620,"饮食","\u003Cp>　　在治疗期间应注意休息，增加营养，多进食高蛋白、高维生素、易消化的食物。患者因持续高热消耗大量能量，全身功能减退，应予以高热量，高蛋白，高维生素饮食，以助增强体质促进康复。对有些食欲不振的患者应给予新鲜可口，易消化的食物，少食多餐。 凡生冷、油炸、酸辣、烟酒、油腻之品，皆不宜食用。\u003C/p>",4,[44,45,46],"老年病内科","传染科","急诊科",true]