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患儿,男,70天,主因发热、皮肤出血点3天,抽搐两次住院。体检:T36.5℃,P156,R52。发育营养好,易激惹,皮肤可见出血点及瘀斑。前囱平,张力高。瞳孔等大正圆,有光反应。颈抵抗,心肺阴性。腹平软,肝肋下2.5cm。巴氏征阳性。血常规:WBC23.9×10~9/L,中性粒细胞82％,淋巴细胞18％,血小板430×10~9/L;脑脊液:外观混浊WBC4.3×10~9/L,中性粒细胞90％,淋巴细胞10％;蛋白2.5g/L,糖0.83mmol/L,氯化物116mmol/L。入院诊断:化脓性脑膜炎。即给予氯霉素、氨苄青霉素、激素等治疗达21天时,临床症状消失,脑脊液除糖定量为1.99mmol/L外,余均正常。此时,停静滴上药,
Children, male, 70 days, mainly due to fever, skin bleeding for 3 days, convulsions twice hospitalized. Physical examination: T36.5 ℃, P156, R52. Development of good nutrition, irritability, bleeding spots and ecchymosis visible on the skin. Front chimney flat, high tension. Dazhengyuan pupil, a bright reaction. Neck resistance, heart and lung negative. Abdomen soft, liver ribs 2.5cm. Pap sign positive. Blood routine: WBC23.9 × 10 ~ 9 / L, neutrophils 82%, lymphocytes 18%, platelets 430 × 10 ~ 9 / L; cerebrospinal fluid: the appearance of cloudy WBC4.3 × 10 ~ 9 / L, Granulocytes 90%, lymphocytes 10%; protein 2.5g / L, sugar 0.83mmol / L, chloride 116mmol / L. Admission diagnosis: purulent meningitis. That is given chloramphenicol, ampicillin, hormones and other treatment up to 21 days, the clinical symptoms disappear, cerebrospinal fluid glucose in addition to quantitative 1.99mmol / L, the remaining were normal. At this point, stop intravenous drip medicine,