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例1,男,13个月,因发热、咳嗽20天入院,无呕吐、抽搐,病后精神差、少动,两便不畅。查体 前囱略紧张,两下肢软瘫,肌力右Ⅱ级,左0～Ⅰ级,感觉消失。腰穿脑脊液不易流出,空针抽出稠厚脓性液体,脓细胞满视野,培养为变形杆菌,血培养阴性。诊断为化脑。用氯霉素、复达新、甘露醇等治疗,效果差,复查脑脊液3次,均呈脓性,针对药敏改用氨基苄青霉素,先锋Ⅴ,庆大霉素鞘内注射3次。住院20天后体温正常,但下肢软瘫无好转,脊椎正、侧位X线片无异常,头颅
Example 1, male, 13 months, due to fever, cough 20 days admitted to hospital, no vomiting, convulsions, poor mental condition, less mobility, the two will be sluggish. Chimney before the examination slightly nervous, two lower limbs paralyzed, muscle right Ⅱ level, left 0 ~ Ⅰ level, feeling disappeared. Lumbar puncture cerebrospinal fluid is not easy to flow out, empty needles out of thick purulent liquid, full of pus cells, cultured as Proteus, blood culture negative. Diagnosis of brain. With chloramphenicol, as much as new, mannitol and other treatment, the effect is poor, review cerebrospinal fluid 3 times, were purulent, drug susceptibility to ampicillin, Pioneer Ⅴ, gentamicin intrathecal injection three times. 20 days after hospitalization, body temperature was normal, but no improvement in lower limbs paralysis, spine positive, lateral X-ray no abnormalities, head