小儿化脓性脑膜炎76例临床分析

目的探讨小儿化脓性脑膜炎的临床疗效和临床观察。方法回顾分析76例小儿化脓性脑膜炎患者的临床资料。结果 76例患儿中,54例患儿治愈,16例患儿好转,6例患儿转科治疗。治疗前患儿脑脊液检查外观混浊的检出率和球蛋白阳性的检出率分别为73.7%和92.1%,显著高于治疗后的外观混浊的检出率7.9%和球蛋白阳性的检出率5.3%,治疗前后对比差异具有统计学意义(P<0.05)。结论对接诊的疑似化脓性脑膜炎的患儿及早地诊断、治疗,可以有效减少患儿并发症及后遗症的发生,提高患儿的治愈率。

Objective Investigate the clinical efficacy and clinical observation of childhood purulent meningitis, Methods 76 cases of childhood purulent meningitis from January 2011 to December 2013 in the department of pediatrics of Hunan Yiyang Central Hospital were retrospective analyzed. Results 54 cases recurred, 16 cases improved 6 cases of children with transfer treatment. CSF appearance of turbidity detection rate and positive detection rate of myosin were 73.7% and 92.1% before treatment, significantly higher than the the rate after treatment which were 7.9% and 5＋3%, the difference was statistically significant （P〈0.05）. Conclusion Early diagnosis and early treatment can effectively reduce the complications effectively and improve the cure rate of children.