Adult fulminant meningococcal meningitis complicated by DIC Nursing.docVIP

 PAGE \* MERGEFORMAT 13 Adult fulminant meningococcal meningitis complicated by DIC Nursing Of: Xu Xi Shi Qinghua Hong-bo Chen Dongyu He Xiuzhi [Keywords:] of epidemic cerebrospinal meningitis, fulminant, DIC, nursing Fulminant meningococcal meningitis caused by Neisseria meningitidis of a purulent meningitis, the main clinical manifestations of sudden high fever, severe headache, frequent vomiting, skin and mucous membrane petechiae, ecchymosis, meningeal irritation severe septic shock and may have substantial damage to the brain, cerebrospinal fluid revealed purulent change, some patients can be rapidly fatal outbreak of the disease [1]. DIC fulminant meningococcal meningitis is a serious complication, which is characterized In the coagulation factor is activated in the microcirculation caused extensive formation of microthrombi consumption of large quantities of platelets and coagulation factors and fibrinolysis in hyperthyroidism, leading to patients with bleeding, shock, thrombosis, hemolytic anemia and even multiple organ dysfunction syndrome (MODS) , if not treated often leads to death [2]. I have successfully treated one case of adult hospital fulminant meningococcal meningitis complicated with DIC in patients with nursing now reported as follows. 1 Clinical data Patients, male, 20 years old. Because of “high fever 1 d, with disturbance of consciousness, the body petechiae 9 h” in at 23:18 on January 15th, 2009 to our hospital. Admission examination: fuzzy consciousness, irritability, blood pressure 140 / 80 mmHg, heart rate 144 times / min, spontaneous breathing 40 times / min, mean peripheral oxygen saturation 76% pulse, rectal temperature 39.4 , head and face, trunk, limbs, skin and oral mucosa can see reddish-brown confluent petechiae, limb swelling, clammy skin, poor elasticity, facial edema, conjunctival hemorrhage, lips cyanosis, cardiopulmonary no abnormal abdominal, meningeal irritation sign was negative. Laboratory examination: