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我院1968~1990年共收治化脓性脑膜炎完整98例,其资料进行临床分析。男63例,女35例,新生儿1例,~12月51例,~3岁17例,~7岁17例,~12岁12例。其临床表现多有发烧、呕吐等。1岁多出现前囱膨隆、惊厥、烦躁、部分有凝视等。3岁以上颈抵抗,头痛体征,多有病理反射。外周血象>10×10~9/L78例,中性粒细胞>50%90例。脑脊液:外观无色38例,微黄22例;混浊67例;蛋白>40mg81例,糖<60mg 88例;氯化物<700mg59例;细胞数>1000 52例。检菌G~+双球菌(似肺炎双球菌)15例。合并硬膜下积液6例,低钙血症10例,右下肢瘫痪4例,耳聋3例,治愈30例,好转27例,自动出院22例,死亡2例。
A total of 98 cases of purulent meningitis were treated in our hospital from 1968 to 1990, and the data were analyzed clinically. There were 63 males and 35 females, 1 newborn, 51 december, 17 ~ 3 years old, 17 cases aged 7 years and 12 cases aged 12 years. The clinical manifestations and more fever, vomiting and so on. 1 year old appear before the chimney bulging, convulsions, irritability, some stare and so on. 3 years old neck resistance, headache signs, and more pathological reflex. Peripheral blood> 10 × 10 ~ 9 / L78 cases, neutrophils> 50% 90 cases. Cerebrospinal fluid: the appearance of colorless 38 cases, 22 cases of light yellow; turbidity 67 cases; protein> 40mg81 cases, sugar <60mg 88 cases; chloride <700mg59 cases; G + bacteria (like pneumococci) in 15 cases. Subdural effusion in 6 cases, 10 cases of hypocalcemia, paralysis of the right lower limb in 4 cases, 3 cases of deafness, cured 30 cases, improved in 27 cases, 22 cases were discharged automatically, and 2 died.