安徽省淮南地区流行性脑脊髓膜炎18例临床分析  

Analysis of clinical characteristics of 18 epidemic cerebrospinal meningitis in Huainan in 2006

作　　者：刘新矿[1] 

机构地区：[1]淮南市第一人民医院感染病科,安徽省淮南232007

出　　处：《中国基层医药》2007年第6期945-946,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨2005年至2006年淮南市流行性脑脊髓膜炎流行的临床特征。方法 将2005年至2006年收治入院的所有18例流行性脑脊髓膜炎患者进行流行特点和临床特征分析。结果 流行性脑脊髓膜炎发病有群体聚集性。临床表现为发热100％，头痛100％，呕吐83．33％．意识障碍55.56％，伴颈抵抗88．89％？淤点或淤斑55．56％，CSF异常100％白细胞升高94．44％．合并有中毒性肝炎、肾损害为主。结论 该次流行性脑脊髓膜炎流行是以学生为主。临床表现典型但无特异性，合并有多脏器损害，强调早期诊断，及时治疗，防治结合。Objective To investigate the clinical characteristics of 18 epidemic cerebrospinal meningitis in Huainan from 2005 to 2006, and to arose the awareness of physicians of the disease and strengthen the preventive measures. Methods The clinical datas of 18 hospitalized cases with epidemic cerebrospinal meningitis in our hospitals in 2005 - 2006 were retrospectively analyzed to study the epidemic features and clinical characteristics of epidemic cerebrospinal meningitis. Results Epidemic cerebrospinal meningitis had the character of colony gathering. Clinical manifestations included fever （ 100 % ）, headache （ 100 % ）, vomit （ 83.33 % ）, unconsciousness （ 55.56 % ）, cervical rigichty（88.89 % ）, petechia and ecchymosis （ 55.56 % ）, abnormal examination of cerebrospinal fluid （ 100 % ）, and leukocytosis（ 100 % ）. The main complications were toxic hepatitis and renal function damage. Conclusion The outbreak of epidemic cerebrospinal meningitis in Huainan this year is rare in this region,and the cases mainly occurr in the group of students. Clinical manifestations are typical without other special features. Epidemic cerebrospinal meningitis often cause multiple organ damage. To control the disease, we should mainly depend on prevention and medical treatment.

关 键 词：脑脊髓膜炎 奈瑟球菌 脑膜炎 疾病暴发流行 

分 类 号：R51[医药卫生—内科学] R74[医药卫生—临床医学]