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本文报告1954~1984年我院儿科所收治的,经脑脊液培养证实之金葡脑膜炎50例。有原发病灶者38例,其中眼眶颜面部21例。50例均有发热,退热期半数在2周以上。大多有脑膜刺激征和脑症状,皮损较多。金葡脑膜炎可分为化脓性与非化脓性两类,因此提出临床怀疑金葡脑膜炎虽脑脊液外观正常,亦必需作细菌培养,以免误诊。本组资料支持细菌性脑膜炎时,脑脊液改变可轻微或正常。治疗主张采用新青霉素Ⅱ加红,氯霉素静滴,疗程8~12周。病死率32%,后遗症亦较高。
This article reports from 1954 to 1984 in our hospital pediatrics, confirmed by CSF cerebrospinal fluid meningitis in 50 cases. There are 38 cases of primary lesions, of which 21 cases of orbital facial. 50 cases were fever, fever in half more than 2 weeks. Most meningeal irritation and brain symptoms, lesions more. Kim & apos; s meningitis can be divided into suppurative and non-purulent two categories, it is proposed clinical suspicion of meningitis meningitis cerebrospinal fluid, although the appearance of normal, but also for bacterial culture, so as not to misdiagnosis. This group of data to support bacterial meningitis, cerebrospinal fluid changes may be mild or normal. Treatment advocated the use of new penicillin Ⅱ plus red, chloramphenicol intravenous, treatment of 8 to 12 weeks. 32% mortality rate, sequelae also higher.