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孕妇无症状阴道B族链球菌(GBS)阳性率为5～35%,但罕见引起母体发病。本文报道1例GBS脑膜炎产妇。病例报告孕妇30岁,妊娠40周入院待产。入院后不到1h,行外阴切开术顺产一健康女婴。产后26h,母亲诉双颞侧搏动性头痛并呕吐两次。体检见患者烦躁不安,但时间地点定向正常。血压110/70mmHg、脉搏120次/min、T38℃、颈强直、克尼格氏征阳性。WBC8 200,多形核32%,杆状核62%;腰穿发现脑脊液(CSF)混浊。CSF中总蛋白500mg/dl,糖11mg/dl,WBC1 800,多形核100%,CSF革兰氏染色未见细菌。凭经验即给与氯霉素、丁胺卡那霉素、头孢噻肟三嗪。24h后,CSF培养、血液、阴道分泌物涂片均见B族乙型溶血性链球菌。于是减药,仅单独
Pregnant women asymptomatic vaginal streptococcus group B (GBS) positive rate of 5 to 35%, but rare maternal disease. This article reports a case of GBS meningitis maternal. Case report Pregnant women 30 years old, 40 weeks of pregnancy admission to be produced. Less than 1h after admission, line vulvectomy with a healthy baby girl. Postpartum 26h, mother complained of bilateral temporal pulsatile headache and vomiting twice. See patients with physical irritability, but the time and place oriented. Blood pressure 110 / 70mmHg, pulse 120 times / min, T38 ℃, neck stiffness, Crohn’s syndrome positive. WBC8 200, polymorphonuclear 32%, rod nucleus 62%; lumbar punctate cerebrospinal fluid (CSF) turbidity. CSF total protein 500mg / dl, sugar 11mg / dl, WBC1 800, polymorphonuclear 100%, CSF Gram stain no bacteria. With experience that is given chloramphenicol, amikacin, cefotaxime triazine. After 24h, CSF culture, blood, vaginal secretions smear are seen Group B hemolytic streptococcus. So by medicine, only alone