【摘要】：布氏桿菌病是世界上最常見的人獸共患傳染病。它以動物為主要宿主,人類是其第二主要宿主。在國內(nèi),羊是主要的傳染源。布氏桿菌可侵犯人體各個系統(tǒng),其臨床表現(xiàn)變化多端,侵犯神經(jīng)系統(tǒng)則稱其為神經(jīng)型布氏桿菌病,較罕見,但表現(xiàn)十分復雜,可表現(xiàn)為腦膜炎、腦膜腦炎、急性腦血管病、癲癇等。正因如此,臨床診斷較困難,很容易誤診。雖然神經(jīng)型布氏桿菌病的病死率較低,但誤診或治療不及時則會導致終身殘疾。為提高廣大臨床工作者對神經(jīng)型布氏桿菌病的認識與重視,現(xiàn)將其發(fā)病機制、流行病學、臨床特點、輔助檢查、診斷治療及預防預后綜述如下,并就目前國內(nèi)對神經(jīng)型布氏桿菌病診斷治療方面存在的問題提出一點粗淺的建議。
[Abstract]:Brucellosis is the most common zoonotic disease in the world. The animal is the main host, and the human is its second main host. Sheep are the main source of infection in China. Brucellae can invade every system of human body, its clinical manifestation is changeable, and the invading nervous system calls it neurobrucellosis, which is rare, but its manifestation is very complicated, and it can be shown as meningitis, meningeencephalitis, acute cerebrovascular disease. Epilepsy, etc. Because of this, clinical diagnosis is difficult and misdiagnosis is easy. Although the mortality of neurobrucellosis is low, misdiagnosis or failure to treat can lead to lifelong disability. In order to improve the understanding and importance of brucellosis, the pathogenesis, epidemiology, clinical characteristics, adjuvant examination, diagnosis, treatment and prophylaxis of brucellosis were summarized as follows. Some suggestions on the diagnosis and treatment of brucellosis were put forward.
【作者單位】： 內(nèi)蒙古醫(yī)科大學附屬醫(yī)院神經(jīng)內(nèi)科;
【基金】：內(nèi)蒙古自然科學基金(No.2015MS(LH)0816)資助~~
【分類號】：R516.7

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