新生儿化脓性脑膜炎临床分析

Clinical analysis of neonatal purulent meningitis

目的分析新生儿化脓性脑膜炎的临床特征,为临床诊治提供依据。方法对我院近年来确诊的16例新生儿化脓性脑膜炎患儿的临床资料进行回顾性分析。结果 16例患儿中,发热或体温不稳定占87.5%,呼吸急促及皮肤黄染各占50%,反应差及前囟门饱满、紧张各占37.5%,精神激惹或烦躁占12.5%,肌张力增高占6.25%。结论新生儿化脓性脑膜炎早期缺乏特异性中枢神经系统表现,对新生儿败血症及可疑化脓性脑膜炎应及时行腰穿检查,早期诊断,及早治疗,可降低病死率,减少后遗症。

Objective Clinical analysis was carried out on the neonatal purulent meningitis,to provide peer current neonatal purulent meningitis latest resources. Methods Collected in our hospital for nearly four years of 16 cases of neonatal purulent meningitis,were retrospectively analyzed. Results 16 cases of clinical characteristics of fever or body temperature is not stable （87.5%）,shortness of breath and skin yellow dye each accounted for 50%,xin door before reaction,and full Nervous each accounted for 37.5%,mental irritability or fidgety each accounted for 12.5%,increased muscle tone （6.25%）. Conclusion The early neonatal purulent meningitis lack of specificity of the central nervous system,for the neonatal sepsis and suspicious fester sex meningitis check line of lumbar puncture in time,early diagnosis,early treatment,can reduce the case fatality rate,reduce sequela.