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败血症出现休克是严重感染的临床危象,常导致死亡,病死率在15～50％左右。在暴发型流脑中也是致死的常见原因,文献报导病死率为20～30％。最近国内有报导降至8.97％者,但国外报导暴脑的病死率仍在50％以上。本文就14岁以下儿童暴发型流行性脑脊髓膜炎(败血症、混合型)67例的临床资料进行回顾性分析,探讨休克与并发心力衰竭的临床特征,以助诊断及处理。一、一般资料: 本组病例是1968～1979年我院收治的14岁以下按流行病学及临床特征诊断为流行性脑脊髓膜炎(以下称流脑)980例中资料较完整的、按1975年全国流脑会议所订标准、诊断为暴发型流脑败血症者55例及混合型者12例,共67
Sepsis Shock is a clinical crisis of serious infection, often leading to death, mortality in about 15 to 50%. In fulminant meningitis is also a common cause of death, the reported case fatality rate of 20 to 30%. Recently, there were reports of a decrease of 8.97% in China, but the reported fatality rates in overseas countries were still above 50%. This paper retrospectively analyzed the clinical data of 67 cases of fulminant meningitis (sepsis, mixed type) in children under 14 years of age and explored the clinical features of shock and concurrent heart failure to help diagnosis and treatment. First, the general information: This group of patients from 1968 to 1979 admitted to our hospital under the age of 14 according to epidemiological and clinical features of the diagnosis of epidemic cerebrospinal meningitis (hereinafter referred to meningitis) 980 cases of more complete information, press In 1975 the National Meeting of the Migraines set standards, diagnosed as fulminant eczematous septicemia 55 cases and mixed type in 12 cases, a total of 67