小儿化脓性脑膜炎85例临床分析  

Clinical analysis of purulent meningitis in children:on 85 cases report

作　　者：马超[1] 

机构地区：[1]内蒙古医学院附属医院儿科,呼和浩特市010020

出　　处：《临床合理用药杂志》2010年第22期32-33,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨小儿化脓性脑膜炎的临床特征、诊断及治疗。方法对85例小儿化脓性脑膜炎的临床资料进行回顾性分析。结果 85例患儿中临床主要表现为发热、呕吐、嗜睡、精神改变、脑膜刺激征阳性。治愈65例(76.47%),好转16例(18.82%),转外科治疗2例(2.35%),死亡2例(2.35%)。治疗前脑脊液检查外观浑浊、球蛋白阳性检出率分别为82.35%和88.24%,高于治疗后的4.71%和3.53%,差异均有统计学意义(P<0.05)。且治疗后白细胞数、蛋白定量、葡萄糖定量均降低(P<0.05)。结论小儿化脓性脑膜炎的早期诊断和及时治疗可明显改善其预后。Objective To study the clinical characters、diagnosis and treatments of purulent meningitis in children. Methods The clinical data of 85 cases patients with purulent meningitis were analyzed retrospectively. Results The main clinical manifestations were fever,vomiting,lethargy,mental changes,meningeal irritation-positive. 65 cases（ 76. 47% ） cured,16 cases（ 18. 82% ） improved,2 cases（ 2. 35% ） transferred surgical treatment,2 cases dead（ 2. 35% ）. CSF examination before treatment,the appearance of dark cloud,globulin positive rate was 82. 35% and 88. 24% ,higher than 4. 71% and 3. 53% after treatment,the difference were statistically significant（ P 0. 05）. White blood cell count,protein and glucose quantitative de-creased after treatment（ P 0. 05）. Conclusion The early diagnosis and timely treatment of purulent meningitis in childrenn can improve prognosis significantly.

关 键 词：小儿 脑膜炎 化脓性 临床表现 脑脊液检查 

分 类 号：R725.1[医药卫生—儿科]