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1984～1987年我院共收治27例暴发型流脑。其中休克型6例,脑水肿型10例,混合型11例。治愈16例,死亡11例。本组病例入院后死亡时间:3～10小时6例,11～-19小时4例,4天1例。治疗:休克型:纠酸,扩容,抗感染,血管活性药物,激素,强心、利尿,654～2及肝素等综合措施。使用青霉素钠盐+氯梅素,有尿后可选用青霉素+SD或青霉素+氯梅素+SD。青霉素每日30～50万u/kg,氯梅素每日50ng/kg,SD每日0.2/kg。654～2按休克程度每次1,2,3ng/kg, 15～30分钟一次静推。肝素每次0.8～1.0ng/kg,4～6小时可重复一次。脑水肿型降颅压,抗感染,激素及呼吸衰竭处理。
From 1984 to 1987, a total of 27 cases of fulminant meningitis were admitted to our hospital. Shock in which 6 cases, 10 cases of cerebral edema, mixed 11 cases. 16 cases were cured and 11 died. This group of patients died after admission: 6 cases of 3 to 10 hours, 11 to 19 hours in 4 cases, 4 days in 1 case. Treatment: shock type: acid correction, expansion, anti-infective, vasoactive drugs, hormones, cardiac, diuretic, 654 ~ 2 and heparin and other comprehensive measures. The use of penicillin sodium salt + melamellin, after the choice of penicillin + SD or penicillin + chlormelastin + SD. Penicillin daily 30 to 500,000 u / kg, chlormeserin daily 50ng / kg, SD daily 0.2 / kg. 654 ~ 2 according to the degree of shock each 1,2,3 ng / kg, 15 to 30 minutes a static push. Each heparin 0.8 ~ 1.0ng / kg, 4 to 6 hours can be repeated. Cerebral edema intracranial pressure, anti-infective, hormone and respiratory failure treatment.