64例小儿化脓性脑膜炎临床分析  

Clinical analysis of 64 children with purulent meningitis

作　　者：吕红宇[1] 陈应芳[1] 

机构地区：[1]四川宜宾市江安县人民医院,宜宾644200

出　　处：《中国实用神经疾病杂志》2014年第2期6-8,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析小儿化脓性脑膜炎的临床特征、诊疗方法以及预后。方法回顾分析64例小儿化脓性脑膜炎的临床资料。结果小儿化脓性脑膜炎的主要临床表现为发热、呕吐、精神异常、嗜睡以及脑膜刺激征阳性等;经综合治疗后48例(75.0%)治愈,13例(20.3%)好转,2例(3.1%)转外科治疗,1例(1.6%)死亡;治疗前脑脊液外观浑浊检出率以及球蛋白阳性率分别为78.1%和85.9%,治疗后分别为3.1%和3.1%,均较治疗前显著降低。结论小儿化脓性脑膜炎无特异性临床表现,早期脑脊液检查(CSF)有利于提高临床诊断准确率,合理应用敏感抗生素进行治疗可获得满意疗效。Objective To analyze the clinical characteristics, treatment methods and prognosis of children with purulent meningitis. Methods The clinical data of 64 children with purulent meningitis were analyzed retrospectively. Results The main clinical manifestations of purulent meningltis in children were fever, vomiting, mental disorders, drowsiness and positive me- ningeal irritation, etc. After a comprehensive treatment, 48 cases （75.0%） were cured, 13 cases （20.3~） improved, 2 cases （3.1 ~） transferred surgical treatment, 1 patient （1.6 ~） died; the appearance of turbid cerebrospinal fluid detection rate and positive globulin rates were 78.1% and 85.9%, respectively, and were 3.1 ~ and 3.1 ~ after treatment, and were significantly lower than that before treatment. Conclusion Purulent meningitis in children without specific clinical manifestations, early CSF could improve the accuracy of clinical diagnosis, rational use of antibiotics for treatment of sensitive obtain can satisfactory re- suits.

关 键 词：小儿 化脓性脑膜炎 诊断 治疗 临床预后 

分 类 号：R512.3[医药卫生—内科学]