本文报道我院传染病科收治33例暴发型流脑的抢救经验。本文总病死率为12.12%,其中败血症体克型10例全部治愈;脑膜脑炎型8例治愈7例;混合型15例治愈12例。本文强调早期诊断,加强抗菌治疗,积极补液,纠正酸中毒外,还强调早期使用肝素,合理使用血管活性药物。另外,抓紧解决主要矛盾,以保护心、脑功能,为抢救危重病人而创造条件。 This article reports the treatment of 33 cases of fulminant meningitis in our department of infectious diseases. The total case fatality rate was 12.12% in this article, of which 10 cases of septicemia were all cured; 8 cases of meningoencephalitis were cured in 7 cases; 15 cases were mixed cured in 12 cases. This article emphasizes early diagnosis, strengthening antimicrobial treatment, active rehydration, correct acidosis, but also emphasizes the early use of heparin, the rational use of vasoactive drugs. In addition, pay close attention to resolving the major contradictions in order to protect the heart and brain function, to create the conditions for the rescue of critically ill patients.