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目的:探讨流行性脑脊髓膜炎的临床表现及实验室检测结果特点,为临床诊治提供有价值的依据。方法:选取2013年1月-2013年4月云南省大关县疾病预防控制中心收治的14例确诊为流行性脑脊髓膜炎的患者,回顾性分析患者的临床表现及实验室检测资料,总结临床表现及实验室检测特点。结果:14例患者多数为民工以外来者,均未接种过流脑疫苗,普通型及典型有11例,暴发型3例,患者均出现了发热症状,多数患者出现呕吐、头痛症状,出现意识障碍者8例、脑膜刺激征阳性者10例,发病早期脑脊液及外周血异常,脑膜炎奈瑟氏菌检出率为85.7%,治疗痊愈13例,未治愈1例。结论:本次流脑以民工和外来人员为主,病原体检出率高,治愈率高,临床症状表现典型,为预防和控制提供了参考依据。
Objective: To investigate the clinical manifestations of meningococcal meningitis and the characteristics of laboratory test results, provide valuable evidence for clinical diagnosis and treatment. Methods: From January 2013 to April 2013, 14 patients diagnosed as epidemic cerebrospinal meningitis admitted to Daguan County Center for Disease Control and Prevention in Yunnan Province were retrospectively analyzed, and their clinical manifestations and laboratory tests were retrospectively analyzed. Clinical manifestations and laboratory testing characteristics. Results: Most of the 14 patients were non-migrant workers. None of the 14 patients were vaccinated with meningococcal vaccine. There were 11 cases of normal type and typical type and 3 cases of fulminant type. All patients had fever symptoms. Most patients had vomiting and headache symptoms and awareness 8 cases of disorders, 10 cases of positive meningeal irritation, cerebrospinal fluid and peripheral blood abnormalities in the early onset, the detection rate of Neisseria meningitidis was 85.7%. Thirteen cases were cured and 1 case was not cured. Conclusion: This meningitis is mainly migrant workers and non-native workers. The detection rate of pathogens is high, the cure rate is high, and the clinical symptoms are typical, providing a reference for prevention and control.