Infants less than 6 months fulminant epidemic cerebrospinal meningitis clinical analysis of 22 cases.docVIP

 PAGE \* MERGEFORMAT 12 Infants less than 6 months fulminant epidemic cerebrospinal meningitis clinical analysis of 22 cases Keywords: cerebrospinal meningitis 2002 ~ 2007, the Sixth People’s Hospital of Shenyang City, 22 cases were treated within 6 months of fulminant epidemic cerebrospinal meningitis (hereinafter referred to as meningitis) in children. Disease, severe illness, a high fatality rate, in order to rise to clinical attention. Retrospective analysis of its clinical data now follows. A clinical data 1.1 General Information 22 cases of children in this group of 2-month-old to 6 months, of which 6 months in 11 cases, 5 months in 4 cases, 2 to 4 months in 7 cases, epidemic cerebrospinal meningitis vaccine is not an object. Sex: male and female of all 11 cases; from the city of 5 cases, villages in 17 cases. Are fulminant, in which shock-type in 14 cases, mixed type (shock, cerebral type) in 8 cases. Comply with version 6, “Infectious Diseases” ECM’s diagnostic criteria [1]. 1.2 clinical symptoms All patients had acute onset, the onset were fever (body temperature 38 ~ 40 ℃), heat 6 ~ 16 h in the hospital; vomiting in 15 cases, including jet-like vomiting in 7 cases. 22 cases were skin petechia petechiae (bleeding spots ecchymosis in 12 cases, with large areas of ecchymosis-intensive integration of 10 cases); occurred within 6 h petechia hospitalized four cases, 6 ~ 12 h in 6 cases hospitalized, 12 h and above 12 cases; drowsiness in 13 cases (including 3 cases of coma), irritability in 10 cases, convulsions in 6 cases, screaming in 5 cases, diarrhea in 3 patients. 1.3 Signs Admission body temperature in the 37 ~ 37.9 ℃ 7 Li, 38 ~ 38.9 ℃ 8 Li, 39 ~ 40 ℃ 5 Li, lt;37 ℃ 2 cases (for the shock-type cases); heart rate 120 ~ 140/min 4 cases, 140 ~ 160 / min 5 Li, 160 ~ 180/min 8 Li, 180 ~ 200/min 5 cases; blood pressure, both systolic blood pressure lt;10.64 kPa (80 mm Hg); consciousness apathetic