论文部分内容阅读
近年来厌氧菌脑膜炎的报告增多,厌氧菌被认为是细菌性脑膜炎的一种致病原,值得临床工作者予以重视。对厌氧菌脑膜炎发病和临床特征的深入了解,将有助于该病的早期诊断和治疗。发病情况过去报告的细菌性脑膜炎致病菌为需氧菌,部分患者脑脊液细菌培养阴性多归诸于已接受抗菌素治疗,实际上其中部分的病原可能系厌氧菌,因而对该菌的认识不足,致未能使用厌氧培养技术加以检出。目前厌氧菌脑膜炎的实际发生率尚不详,Cha-ttopadhyay 认为在细菌性脑膜炎中厌氧菌脑膜炎的发生率估计不少于1%。晚近报告细菌性脑膜炎患者脑脊液培养中厌氧菌的检出率自0.3～9%不等。发病因素和致病菌头部与颈部的原发感染灶为大多数厌氧菌脑膜炎的感染来源。
In recent years, anaerobic meningitis increased reports, anaerobic bacteria is considered a causative agent of bacterial meningitis, it is worth the attention of clinicians. The understanding of the pathogenesis and clinical features of anaerobic meningitis will help the early diagnosis and treatment of the disease. The incidence of past reports of bacterial meningitis pathogens aerobic bacteria, some patients with cerebrospinal fluid bacterial culture more than have been treated with antibiotics, in fact, part of the pathogen may be anaerobic bacteria, and thus the understanding of the bacteria Insufficient, could not be detected using anaerobic culture techniques. The actual incidence of anaerobic meningitis is currently unknown, and Chapattihyay argues that the incidence of anaerobic meningitis in bacterial meningitis is estimated to be no less than 1%. Recent reports of bacterial meningitis in cerebrospinal fluid culture anaerobic detection rate ranging from 0.3 to 9%. The pathogens and pathogenic bacteria head and neck of the primary focus of infection for most anaerobic meningitis infection.