标题：糖尿病酮症酸中毒合并结核性脑膜炎临床分析

      作者：刘旭东 1，陈 艳 2，张紫寅 3，唐建建 3
    （1.资阳市第一人民医院神经内科，四川 资阳 641300；
2.简阳市人民医院神经内科，四川 简阳 641400；
3.海南医学院附属医院神经外科，海南 海口 570102）

      卷次： 2013年24卷6期

      【摘要】 目的 总结糖尿病酮症酸中毒合并结核性脑膜炎的临床特点。方法 回顾性分析13例糖尿病酮
症酸中毒合并结核性脑膜炎的临床资料和影像学资料，并对其进行归纳总结。结果 治愈5例，病情反复6例，
死亡2例，病死率约15.38%。结论 糖尿病酮症酸中毒合并结核性脑膜炎早期诊断困难，若糖尿病酮症酸中毒
患者出现神经功能损害时，应高度警惕此病的存在，早期治疗能明显改善预后。

      【关键词】 糖尿病；酮症酸中毒；结核性脑膜炎；预后

      【中图分类号】 R587.2 【文献标识码】 A 【文章编号】 1003—6350（2013）06—0860—02


Clinical analysis of diabetic ketoacidosis complicating tuberculous meningitis.
LIU Xu-dong 1, CHEN Yan 2,
ZHANG Zi-yin 3, TANG Jian-jian 3. 1. Department of Neurology, the First People's Hospital of Ziyang City, Ziyang
641300, Sichuan, CHINA; 2. Department of Neurology, the People's Hospital of Jianyang City, Jianyang 641400, Sich-
uan, CHINA; 3. Department of Neurosurgery, the Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan,
CHINA

【Abstract】 Objective To summarize the clinical features of diabetic ketoacidosis complicating tuberculosis
meningitis. Methods The clinical data of 13 cases of diabetic ketoacidosis complicating tuberculous meningitis was
retrospectively analyzed, and the clinical features were summarized. Results Five patients were cured, six suffered
recurrence, and two died. The mortality rate was 15.38%. Conclusion The early diagnosis of diabetic ketoacidosis
complicating tuberculosis meningitis is very difficult. If neurological function damage appears or aggravates, this dis-
ease should be highly suspected, and early treatment can significantly improve the prognosis.

      【Key words】 Diabetes; Ketoacidosis; Tuberculous meningitis; Prognosis