论文部分内容阅读
肺炎链球菌属链球菌属。主要寄生于人体上呼吸道,部分菌株有致病力,可引起大叶性肺炎,引起化脓性脑膜炎者临床极少见。我们于1993年5月从一例化脓性脑膜炎患儿硬膜外穿刺液中分离出一株肺炎链球菌,现报道如下。 患者,男,5个月,因不明原因发热二天伴呕吐,嗜睡继而昏迷于1993年5月4日采院就诊。实验室检查:硬膜外穿刺液外观呈柠檬包,微混,无凝块;白细胞总数18/mm~3,蛋白质定性呈强阳性,糖2.2mmol/L,氯化物106mmol/L。末梢血白细胞总数16.4×10~6/L,分类计数N 0.86,L0.14。经CT检查提示化脓性脑膜炎可能。临床诊断为化脓性脑膜炎。入院后因病情严重,持续昏迷七天后抢救无效于5月11日死亡。
Streptococcus pneumoniae Streptococcus. The main parasitic on the human upper respiratory tract, some strains have pathogenicity, can cause lobar pneumonia, causing purulent meningitis clinical rare. In May 1993 we isolated from a case of purulent meningitis in children with epidural puncture fluid Streptococcus pneumoniae, are reported below. Patients, male, 5 months, fever for two days with vomiting due to unknown reasons, drowsiness and coma were admitted on May 4, 1993. Laboratory tests: The appearance of epidural puncture fluid was lemon packet, micro-mixed, no clot; total number of leukocytes 18 / mm ~ 3, protein qualitative was strongly positive, sugar 2.2mmol / L, chloride 106mmol / The total number of peripheral blood leukocytes 16.4 × 10 ~ 6 / L, the classification count N 0.86, L0.14. CT examination suggests purulent meningitis may be. Clinical diagnosis of purulent meningitis. After admission due to serious illness, continuous rescue seven days after the coma was invalid on May 11 death.