化脓性脑膜炎(国外英文资料).docVIP

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化脓性脑膜炎(国外英文资料)

化脓性脑膜炎 (1) cerebrospinal fluid examination The cerebralspinalfluid (CSF) examination is an important basis for diagnosing intracranial infection and subarachnoid hemorrhage. CSF can be used for testing of various kinds of projects, including appearance, stress, routine, biochemistry, and pathology. However, in children with severe cranial pressure, there is a risk that lumbar puncture may cause cerebral hernia before the cranial pressure is effectively reduced, and should be particularly cautious. The CSF of several common infection diseases in the cranial disease is shown in table 16-2. 表16—2颅内常见感染性疾病的脑脊液改变特点 压力(kPa)常规分析生化分析其他外观Pandy试验白细胞(X106/L)蛋白(g/L)糖mmol/L氯化物mmol/L 正常0.69--1.96新生儿:0.29-0.78清亮透明--0-10婴儿:0-200.2-0.4新生儿:0.2-1.22.8-4.5婴儿:3.9-5.0117-127婴儿:110-122 化脓性脑膜炎不同程度增高米汤样混浊 +~+++数百~数千,多核为主增高或明显增高 明显降低多数降低涂片Gram染色和培养可发现致病菌结核性脑膜炎不同程度增高微浑,毛玻璃样 +~+++数十~数百,淋巴为主增高或明显增高 明显降低多数降低薄膜涂片抗酸染色及培养可发现抗酸杆菌病毒性脑膜炎不同程度增高清亮,个别微浑 -~+正常~数百,淋巴为主正常或轻度增高 正常正常特异性抗体阳性,病毒培养可能阳性隐球菌性脑膜炎高或很高微浑,毛玻璃样 +~+++ 数十~数百,淋巴为主 增高或明显增高明显降低 多数降低 涂片墨汁染色和培养可发现致病菌 (二)脑电图和主要神经电生理检查1.脑电图(electroencephalography,EEG)是对大脑皮层神经元电生理功能的检查。 Include: The third is the meningitis of the disease Purulentailment is an infectious disease of the central nervous system that is common in children, especially infants. The clinical features were characterized by acute fever, convulsion, conscious disturbance, increased intracranial pressure and cerebral stimulation, and cerebral spinal fluid. With the development of the diagnostic treatment level, the prognosis of the disease has improved significantly, but the fatality rate is still at 5 percent and 15 percent, and about one-third of the survivors are left with all kinds of nervous system. In the aftermath of June, the prognosis of children with the disease was worse. [pathogenic bacteria and invasive ways] Many pus can cause the disease. But more than two thirds of the children were caused by three bacteria, meningococcus, streptococcus pneumoniae and haemophilus influenzae.

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