近来我院收治反复发作性化脓性脑膜炎1例,现报告如下。患儿,女,9岁。因发热9小时伴头痛、喷射性呕吐2次于1991年10月30日入院。入院时无抽搐及意识障碍。入院诊断:化脓性脑膜炎(简称化脑)。既往曾有类似发作史,在外院住院6次,本院住院2次,先后诊断为良性复发性脑膜炎、化脓性脑膜炎,发作时间平均为3个月,但病原菌未明,此次为第9次发作。体检:T37.8℃,BP13.9/8kPa。神清,精神萎糜。双瞳孔等大等圆,光反射敏感。颈抵抗,心肺腹阴性。四肢肌张力偏高,克、布氏征均阳性,巴氏征可疑阳性。实验室检查:血白细胞31.2×10~9/L,中性粒细胞88%,淋巴细胞12%,血小板10.2×10~9/L。脑脊液常规细胞数6.5×10~9/L,中性粒细胞99%,糖0.196mmol/L,蛋白2000mg/L,氯化物112.4mmol Recently admitted to our hospital recurrent purulent meningitis in 1 case, are as follows. Children, female, 9 years old. 9 hours fever with headache, jet vomiting twice in October 30, 1991 admission. No convulsions and disturbance of consciousness at admission. Admission diagnosis: purulent meningitis (referred to as the brain). Previously had a history of similar attacks, hospitalized in the outer court 6 times, our hospital 2 times, has diagnosed as benign recurrent meningitis, purulent meningitis, the onset time average of 3 months, but the pathogen is unknown, this is the first 9 The second episode. Physical examination: T37.8 ℃, BP13.9 / 8kPa. Clear, spiritual wilt Mi. Double pupil and other large circle, light reflection sensitive. Neck resistance, cardiopulmonary abdominal negative. Extremity muscle tension is high, grams, cloth sign were positive, suspicious positive Pasteurization. Laboratory tests: blood leukocytes 31.2 × 10 ~ 9 / L, 88% of neutrophils, lymphocytes 12%, platelets 10.2 × 10 ~ 9 / L. Cerebrospinal fluid conventional cells 6.5 × 10 ~ 9 / L, 99% neutrophils, sugar 0.196mmol / L, protein 2000mg / L, chloride 112.4mmol