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我院1964年5月21日收治流行性脑脊髓膜炎并发肢端坏死一例,起病3天急救入院。入院时全身皮肤有多处紫红色出血斑,尤以四肢远侧端为明显,已全部呈黑色,右侧桡动脉搏动未能触及。躯干部亦可见少数散在性大小不等的紫红色淤血斑,有的中央有血疱。右侧耳廓及鼻尖部亦有类似出血斑(见图)。检验结果查明是由于脑膜炎双球菌败血症引起的肢端坏死。入院后,即予以青霉素50万单位肌注,每6小时1次。氢化
May 21, 1964 in our hospital admitted with epidemic cerebrospinal meningitis complicated by acral necrosis in one case, onset 3 days emergency admission. There were multiple purplish red spots on the skin when admitted to the hospital, especially in the distal extremities of the extremities. All of them were black, and the pulse of the right radial artery failed to reach the site. Torso also can see a few scattered in the size of the purple red congestion spots, and some central blood blisters. Right auricle and nose tip also have similar bleeding spots (see photo). Test results identified as meningococcal sepsis caused by acral necrosis. After admission, 500,000 penicillin units were intramuscularly injected every 6 hours. hydrogenation