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120例小儿暴发型流脑临床分析

FULMINANT MENINGOCOCCAL MENINGITIS IN CHILDHOOD: CLINICAL ANALYSIS OF 120 CASES
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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^3,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。 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.
出处 《重庆医科大学学报》 CAS 1987年第3期191-194,共4页 Journal of Chongqing Medical University
关键词 暴发型流脑 Fulminant meningococcal meningitis
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