化脓性脑膜脑炎的急性期诊治  

Diagnosis and treatment for acute phase of suppurative meningoencephalitis

作　　者：肖波[1] 胡凯[1] Xiao Bo;Hu Kai(Department of Neurology,Xiangya Hospital of Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院神经内科,长沙410008

出　　处：《中华神经科杂志》2022年第8期877-885,共9页Chinese Journal of Neurology

基　　金：国家重点研发计划项目(2021YFC1005305);国家自然科学基金(81974206)。

摘　　要：化脓性脑膜脑炎是一种临床表现较严重、诊治耗费较大、预后较差的颅内感染性疾病,早期诊断和积极治疗有助于改善疾病预后。明确化脓性脑膜脑炎急性期的内源性或外源性致病因素、流行病学和病原菌特征、临床表现和分类、影像学改变及实验室特点,有利于对该疾病的准确诊断和有效治疗,并提高临床诊治水平,对患者的预后至关重要。Suppurative meningoencephalitis is the kind of intracranial infectious disease which exhibits comparatively more severe clinical manifestations,more expensive diagnostic and treatment costs and poorer prognosis.Early diagnosis and effective treatment are essential for better improvement of disease prognosis.Clear identification of intrinsic and extrinsic factors causing the acute phase of suppurative meningoencephalitis,as well as its epidemiological and pathogenic characteristics,clinical manifestations and classifications,imaging features and laboratory tests explanations,may contribute greatly to the diagnostic correctness and treatment efficacy,thus promoting diagnostics and medical treatment of this disease which remains ultimately critical to patients′prognosis.

关 键 词：化脓性脑膜脑炎 颅内感染 病原菌 临床表现 

分 类 号：R742.9[医药卫生—神经病学与精神病学]