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我院从1984年末至1986年6月共收治流脑55例,诊断标准按高等医学院校(传染病学)规定介绍如下.1一般资料本组冬春两季发病共41例、占总数的74.5％.55例中男29例,女26例。年龄18天～55岁。22岁以下占80％,其中12岁以下儿童又占其84.3％。暴发型7例。占12.7％(休克型5例。脑型2例),其中死亡2例。普通型43例,占78％,轻型5例,占9.3％。皮肤有出血点(斑)者占69％,口唇疱疹占25％。均与文献报道近似。辅助检查:末稍血WBC计数90％以上>10×10~9/L,2例低下者(3～5×10~9/L)皆为休克型(1例死亡),提示WBC偏低者病情危重。出血点涂片找菌29例.找到奈瑟氏革兰氏阴性双球菌者仅7例,而脑脊液涂片9例,有6例找到此菌。另外,我们还观察到出血点鲜红而密集者以及床边取材即刻染色固定(防菌自
Our hospital from 1984 to June 1986 a total of 55 cases of meningitis, diagnostic criteria according to the provisions of higher medical schools (infectious diseases) are as follows.1 General information The group of 41 cases of winter and spring onset, accounting for the total 74.5% .55 cases of male 29 cases, 26 females. Age 18 days to 55 years old. 80% under the age of 22, of which 84.3% of children under 12 years old. Outbreak in 7 cases. Accounting for 12.7% (shock in 5 cases, brain 2 cases), of which 2 died. 43 cases of common type, accounting for 78%, 5 cases of light, accounting for 9.3%. Skin bleeding spots (spots) accounted for 69%, cold sores accounted for 25%. All reported in the literature are similar. Auxiliary examination: peripheral blood WBC count more than 90%> 10 × 10 ~ 9 / L, 2 patients with low (3 ~ 5 × 10 ~ 9 / L) were shock type (1 death), suggesting that the lower WBC Critical condition. Bleeding spot smear bacteria in 29. Found only Neisseria Gram-negative bacteria in only 7 cases, while 9 cases of cerebrospinal fluid smear, 6 cases found this bacteria. In addition, we also observed that the bleeds were bright and dense, and the bedside was immediately stained (antimicrobial