摘要
报告了22例中枢神经系统新型隐球菌感染,并对影响预后的因素进行了初步分析。结论:早期诊断、早期治疗是提高治愈率的关键;合并视乳头水肿、脑实质损害、脑脊液压力过高及糖含量过低者预后不良;诊断不明者使用激素及抗菌素影响预后;大扶康是治疗隐球菌脑膜炎或隐球菌脑膜脑炎的有效药物。
22 cases with central nervous system cryptococcosis are reported and the causes ofaffection on prognosis are analysed. Result: early diagnosis and early treatment are the keyof increasing the cure rate. The cases companied with papilloedema, brain essence injury,high pressure and low glocore in cerebrospinal fluid have bad prognosis. The usage of hormone and antibiotic, in case that diagnosis is not certain, will influence the prognosis. Diflucan is effective cure in crytococcosis treatment.
关键词
新型隐球菌
中枢感染
治愈率
中枢神经系统
cryptococcus neoformans
central nervous system infection
cure rate