近10多年来,细菌性脑膜炎的诊断与治疗,特别是在早期诊断、抗菌素的正确使用、合并症的诊断与处理等方面都有新的进展。本文就上述方面的若干问题综述如下。早期细菌性脑膜炎的诊断问题早期诊断是本病治疗成功的关键,但是早期病人往往缺乏典型的症状和体征。婴幼儿期因颅骨缝未闭合,颅压增高可通过它得到代偿,使脑膜刺激征象出现较晚。然而, In the recent 10 years, bacterial meningitis diagnosis and treatment, especially in the early diagnosis, the correct use of antibiotics, diagnosis and treatment of complications have made new progress. This article summarizes a number of issues in the above areas. Early diagnosis of bacterial meningitis early diagnosis of the disease is the key to the success of treatment, but the early patients often lack the typical symptoms and signs. Infants and young children due to cranial suture is not closed, increased intracranial pressure can be compensated by it, so that signs of meningeal irritation later. however,