120例小儿暴发型流脑临床分析

刘作义; 陈申义; 董伦光; 张爱华

doi:10.13406/j.cnki.cyxb.1987.03.015

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120例小儿暴发型流脑临床分析

更新时间：2024-01-17

- 120例小儿暴发型流脑临床分析
- FULMINANT MENINGOCOCCAL MENINGITIS IN CHILDHOOD: CLINICAL ANALYSIS OF 120 CASES
- 重庆医科大学学报 1987年第3期页码：191-194
- 作者机构：
  
  重庆医科大学儿科医院传染科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.1987.03.015
  中图分类号：
- 纸质出版日期：1987，
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[1]刘作义,陈申义,董伦光,张爱华.120例小儿暴发型流脑临床分析[J].重庆医科大学学报,1987(03):191-194.

Department of infectious disease in children. Liu Zuoyi and Chen Shenyi et al.. FULMINANT MENINGOCOCCAL MENINGITIS IN CHILDHOOD: CLINICAL ANALYSIS OF 120 CASES[J]. Journal of Chongqing Medical University, 1987,(3):191-194.
[1]刘作义,陈申义,董伦光,张爱华.120例小儿暴发型流脑临床分析[J].重庆医科大学学报,1987(03):191-194. DOI： 10.13406/j.cnki.cyxb.1987.03.015.

Department of infectious disease in children. Liu Zuoyi and Chen Shenyi et al.. FULMINANT MENINGOCOCCAL MENINGITIS IN CHILDHOOD: CLINICAL ANALYSIS OF 120 CASES[J]. Journal of Chongqing Medical University, 1987,(3):191-194. DOI： 10.13406/j.cnki.cyxb.1987.03.015.

摘要

我院收治小儿暴发型流脑120例

死亡38例

死亡率31.67%。分析结果表明:意识障碍

无脑膜刺激征

严重瘀点、瘀斑

血压下降

血小板低于10万/mm

年龄1岁以下和抢救8小时不见好转为暴发型流脑预后的不利因素。而病儿性别

流行季节

居住环境

发热程度

惊厥和外周白血球升高对判断流脑预后无实际意义。

Abstract

120 cases of fulminant meningococcal meningitis in childhood admitted to our hospital were

reported with the fatality of 31.6%(38 deaths). The prognosis is influenced by the following factors: confusion

absence

of meningeal irritation

severe petechial or purpuric lesions

low blood pressure

platelet count less than 100

000/mm3. The patient under 1 yr of age and no response to the intensive therapy for & hr usually denotes a poor prognosis. However the sex distribution

seasonal variation

inhabitable;circumstance

high degree of fever

convulsions and the elevated wbc count showed no significant difference

for the prognosis of the disease.

关键词

暴发型流脑

Keywords

Fulminant meningococcal meningitis

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