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我院于1995年3月从一例流脑患儿脑脊液中分离到一株1889群脑膜炎球菌,此群脑膜炎球菌引起的脑脑膜炎少见,现报告如下: 患者女,12岁,主因头痛、恶心、呕吐入院。入院时体温38℃,神志清、精神萎糜,腹部及下肢皮肤可视散在出血点,压之不退色,颈部明显抵抗,双侧肱二、三头肌健反射均亢进,克氏征、巴氏征阳性。实验室检查:血象WBC 12.2×10~9/L,S 80%,L 20%。脑脊液常规检查:外观白色混浊,WBC 6.4×10~9/L,多核90%,单核10%,潘氏试验++,糖3—5管阳性。
In our hospital in March 1995 from a case of cerebrospinal fluid in children with an isolated 1889 meningococcal meningitis, meningococcal meningitis caused by rare meningitis, are as follows: The female patient, aged 12, the main cause of headache, Nausea, vomiting admitted to hospital. On admission, body temperature 38 ℃, clear spirit, spiritual wilt Mi, the skin of the abdomen and lower extremity can be scattered in the bleeding point, the pressure does not fade, the neck was significantly resistance, bilateral brachial and triceps reflexes were hyperthyroidism, Pap sign positive. Laboratory tests: blood WBC 12.2 × 10 ~ 9 / L, S 80%, L 20%. Cerebrospinal fluid routine examination: the appearance of white turbidity, WBC 6.4 × 10 ~ 9 / L, multi-core 90%, mononuclear 10%, Pan test ++, sugar 3-5 tube positive.