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本文报道43例小儿金黄色葡萄球菌脑膜炎,其特点是:(1)、多数患儿有中枢神经系统外的原发病灶,主要来自皮肤感染。(2)、1/3以上的患儿有各类皮疹。(3)多数患儿血培养阳性。(4)、2/3以上的患儿脑脊液呈非化脓性炎症改变。故脑脊液呈非化脓性改变时不要轻易排除本病的可能性,尤其是当中毒症状较重且伴有皮疹或体内有多处化脓性病灶时,更应注意本病的存在,治疗前检查脑脊液并作血培养有助于诊断。
This article reports 43 cases of Staphylococcus aureus meningitis in children, which is characterized by: (1) Most children have primary lesions outside the central nervous system, mainly from skin infections. (2), 1/3 or more children have various rashes. (3) Most children with blood culture positive. (4), 2/3 or more in children with non-purulent cerebrospinal fluid inflammatory changes. Therefore, non-purulent cerebrospinal fluid changes do not easily rule out the possibility of the disease, especially when the symptoms of severe poisoning and accompanied by a rash or multiple suppurative lesions in the body, should pay more attention to the existence of the disease, before treatment check cerebrospinal fluid And for blood culture to help diagnose.