暴发性脑膜炎球菌败血症(简称暴脑败血症),即过去称为华-佛氏综合征,起病急骤,病情进展迅速而凶险,病死率较高,是流行性脑脊髓膜炎(简称流脑)的一种危重病型,防治的重点。现就本病的诊断和治疗讨论如下: 一、诊断:主要依据临床特征和实验室检查。(一)临床特征:1.严重中毒症状:寒战、高热、头痛、呕吐、精神极度萎靡,可有不同程度的意识障碍,有时出现惊厥,脑膜刺激征大多缺如;2.瘀点、瘀斑:全身皮肤和粘膜广泛性瘀点和瘀斑,迅速扩大,融合成大片皮下出血,或继以坏死;3.内毒素性休克:是本病突出的临床表现,出现面色苍灰,口唇周 Outbreak of meningococcal septicemia (referred to as TB cerebral septicemia), that is, in the past known as China - Valsalva syndrome, rapid onset, rapid and dangerous disease progression, high mortality is epidemic meningitis ) A critical illness, the focus of prevention and treatment. Now on the diagnosis and treatment of the disease are discussed below: First, the diagnosis: mainly based on clinical features and laboratory tests. (A) of the clinical features: 1. Symptoms of severe poisoning: chills, fever, headache, vomiting, extreme mental malaise, may have varying degrees of disturbance of consciousness, and sometimes convulsions, meningeal irritation mostly lacking; 2. Petechiae, ecchymosis : The general skin and mucous membrane petechiae and ecchymosis, rapid expansion, integration into large subcutaneous hemorrhage, or follow the necrosis; 3. Endotoxic shock: is the outstanding clinical manifestations of the disease, appear pale gray, lip weeks