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流行性脑脊髓膜炎的诊断一般比较容易,但常有非典型的表现,可造成诊断困难,甚至误诊。三年来我们在治疗流行性脑脊髓膜炎病例中,曾经遇见一些非典型病例,现仅就其中记录较完整者分类报告如下。本文报告的病例基本上都符合下列诊断标准,即具有:①急性化脓性脑膜炎的症状和体征;②急性化脓性脑膜炎的脑脊液所见,且未检到其他致病菌;③脑脊液或瘀斑涂片找到革兰氏阴性双球菌。参考:①在流行性脑脊髓膜炎的流行季节发病;②有出血性皮疹;③对磺胺嘧啶疗效良好。
The diagnosis of epidemic meningococcal disease is generally relatively easy, but often atypical manifestations, can cause difficulties in diagnosis, or even misdiagnosis. In the past three years, we have encountered some atypical cases in the treatment of patients with epidemic meningococcal disease, and the following is only reported on the classification of those with more complete records. The cases reported in this paper are basically in line with the following diagnostic criteria, namely: ① acute purulent meningitis symptoms and signs; ② acute purulent meningitis seen in cerebrospinal fluid and did not detect other pathogens; ③ cerebrospinal fluid or blood stasis Spot blotch to find Gram-negative diplococcus. Reference: ① in the epidemic season of meningitis epidemic season; ② hemorrhagic rash; ③ sulfadiazine good effect.