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You check whether there is a tuberculosis hospital in the local area, or a chest hospital, which is a municipal or provincial tertiary hospital, which has a department specializing in the treatment of children's brain, and the general small hospital does not have the ability to ** this disease.
Call ** and ask 114
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Did your niece have a lumbar puncture? That will tell if the pressure in the cerebrospinal fluid is elevated, and in what the case is. For example, some patients can directly detect tuberculosis bacteria.
Biochemical tests can reduce the content of sugar and chloride, etc. If the pressure is too high, the pressure on the brain tissue will be greater. Children can develop hydrocephalus.
Consciousness is impaired. Coma, etc. Now the child in addition to observing the body temperature, pulse, breathing.
Blood pressure. Urine output. Consciousness.
The size of the pupils in both eyes is the most important. See if there is brain herniation. If your child appears unconscious, the condition is very serious.
But don't be discouraged. Doctors are now routinely inhaling oxygen, keeping the airways open, and using hormones. Dehydrating agent.
Diuretic. Rational use of anti-tuberculosis drugs. Maintain water and electrolyte balance.
Lateral ventricular drainage may be done if necessary. However, it depends on the specific situation of the patient. As a family member, what you have to do well is to cooperate with the doctor.
Do a good job of nursing to prevent bedsores and secondary infections, and if you can eat, eat small and frequent meals. If you can't eat, please cooperate with nasogastric feeding. There is a silver lining to be fought for.
You go to Chongqing Children's Hospital is already a good hospital. Her current situation is already critical to listen to you, don't transfer to the hospital, it is easy to have problems on the road. Everyone's sensitivity to medications is different.
The efficacy is also different. That hospital should be a top three in the country.
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Summary. Tuberculous meningitis is less difficult to treat and more difficult to treat than tuberculosis. If it is detected early, and it is timely and thorough, after one and a half to two years of treatment, some patients can **, and some patients will have sequelae.
The onset of cerebral disease is rapid and uncertain, but the course of the disease is longer, there are fewer self-healing patients, and there are more deterioration deaths. Since the introduction of chemotherapy, the poor prognosis has improved substantially. The prognosis of the brain depends on the early or late anti-tuberculosis drugs, as well as whether the method of initiation is correct or not, whether the infected tuberculosis bacteria are drug-resistant strains, the age of onset of the patient, the disease period and disease type of the patient, whether it is combined with hydrocephalus, initial treatment or retreatment (deterioration or **), cerebrospinal fluid biochemical and cytological changes, etc.
These combined factors are closely related to the future.
Is tuberculous encephalitis good**.
Tuberculous meningitis is more difficult to treat than tuberculosis. If it is detected early, and it is timely and thorough, the course of treatment will be closed for one and a half years to two years, and some patients will have sequelae. The onset of cerebral disease is rapid and uncertain, but the course of the disease is longer, there are fewer self-healing patients, and there are more deterioration deaths.
Since the introduction of chemotherapy, the poor prognosis has improved substantially. The prognosis of the brain depends on the early or late anti-tuberculosis drugs, as well as the correct method of starting, whether the infected tuberculosis is a drug-resistant strain, the age of onset of the patient, the disease period and disease type of the patient, whether it is combined with hydrocephalus, initial treatment or retreatment (exacerbation or **), cerebrospinal fluid biochemical and cytological changes, etc. These combined factors are closely related to the future.
Hope mine is helpful to you.
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Most people know that tuberculous meningitis is a relatively dangerous disease, so they are very worried after getting it, so how is tuberculous meningitis caused?
Tuberculous meningitis is caused by the formation of the submeningeal layer after the spread of the Mycobacterium tuberculosis in the blood, resulting in the nodules of this tuberculosis, and after the destruction of the tuberculous nodules, a large number of Mycobacterium tuberculosis bacteria enter the subarachnoid space, forming tuberculous meningitis. It may cause headache, vomiting, psychiatric symptoms, altered consciousness, and some patients may also have symptoms such as convulsions, hemiplegia, involuntary movements, disorders, or cranial nerve damage, often involving cranial nerves, including oculomotor nerves and facial nerve damage.
For patients with tuberculous meningitis, in the initial stage, hormones can be used to control the spread of inflammation, and antituberculosis drugs can be used to control inflammation, reduce cerebral edema, and reduce cerebral pressure. It is important to know that inflammation spreads quickly, so it is imperative to control inflammation within the meninges and prevent it with other hormones.
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Hello, at present, streptomycin, isoniazid, rifampicin and pyrazinamide are mostly used for tuberculous meningitis**. Among them, isoniazid inh is the most important drug, and it is used from beginning to end throughout the course of treatment. The course of treatment is 1 year, or not less than half a year after the cerebrospinal fluid is normal.
Guiding opinions: Traditional Chinese medicine believes that after a long period of illness and serious illness, the spleen and stomach qi deficiency caused by the retention of heat and evil and the depletion of true yin, resulting in liver wind internal movement, seizures and convulsions. It can be used to add flavor to the four gentlemen soup or the six gentlemen's soup, there are hot plus kudzu, bupleurum, skullcap, coptis, etc.; When there are convulsions, anticonvulsant drugs such as gastrodia, hook vine, whole scorpion, centipede, zombie silkworm, gall star or cicada molt, etc. Advanced meningitis focuses on tonifying the spleen and nourishing yin, supporting yang and relieving adversity, and can be used with Liujunzi soup with aconite and cinnamon.
When there is hydrocephalus, it can be added or subtracted with Liuwei Dihuang pills. Sequelae can be treated with acupuncture**. Different acupuncture points are used according to paralysis and different neurological symptoms.
As long as it has no effect on lung function, it doesn't matter if the pleura is hypertrophied.
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