216例化脓性脑膜炎临床分析  

Clinical analysis of 216 cases of pediatric purulent meningitis

作　　者：张丽丽[1] 袁宝强[1] 程华[1] 庞伟茂[1] 殷其改[1] 

机构地区：[1]徐州医学院附属医院儿科,江苏省221000

出　　处：《实用诊断与治疗杂志》2008年第5期330-331,334,共3页Journal of Practical Diagnosis and Therapy

摘　　要：目的:探讨小儿化脓性脑膜炎的临床表现、诊断、疗效及预后。方法:回顾性分析216例化脓性脑膜炎患儿的临床资料。结果:治愈130例(60.2%);好转28例(13.0%);自动出院36例(16.7%);死亡17例(7.8%);转院5例(2.3%);出现并发症101例(46.8%),其中硬膜下积液62例(28.7%),脑积水21例(9.7%),脑室管膜炎18例(8.3%),脑脓肿6例(2.8%)。结论:小儿化脓性脑膜炎临床表现不典型,早期诊断、治疗,可提高治愈率,降低病死率,减少并发症的发生率。Objective To investigate the clinical manifestation, diagnosis, treatment and prognosis of patients with purulent meningitis. Methods Two hundred and sixteen patients with purulent meningitis were analyzed retrospectively. Results In the 216 cases, 130 got well （60. 2%）, 28 improved（13.0%）, 36 gave up（16.7%） and 17 died （7.8%）. In the 101 cases of complications, 62 were subdural effusion（28.7%）, 21 were hydrocephalus（9.7%）, 18 were ependymitis（8.3%） and 6 were brain abscess（2.8 %）. Conclusion The clinical manifestation of purulent meningitis is not typical, so the early diagnosis and treatment are important for a better prognosis.

关 键 词：化脓性脑膜炎 血培养 脑脊液培养 阳性率 

分 类 号：R725.1[医药卫生—儿科]