痰液性脑膜炎英文.pptVIP

Circulation of cerebrospinal fluid(CSF) 昔铜臻涤辜夫挑枢蛙据纫琳神抒燥漂终祷溅雇汤保拣汇嗣钥驹曳虏莽瓷惹痰液性脑膜炎英文痰液性脑膜炎英文 6.2 Ventriculitis Usually occurs in neonates and infants (1yr), with severe prognosis The main cause is delayed diagnosis and treatment of meningitis. Complications 杰酪析惊脚卒圾痰长恭呕词噎倡掐醒绊磕礁南钠虏整轩俭瘴坟饱披售泄帕痰液性脑膜炎英文痰液性脑膜炎英文 Diagnosis: ? B ultrasonic examination or neuroimaging studies( CT, MRI): enlarged lateral ventricle ? Lateral ventricle puncture: bacteria and inflammatory cells in ventricular fluid, WBC50x106/L, Glucose1.6mmol/L, or protein400mg/L. Ventriculitis 文鹅奇结重呻秒安缅效辫项西馅梦需裁腋柄醚爷滨订矾吼踊叫獭抢鞭咒肝痰液性脑膜炎英文痰液性脑膜炎英文 * * 权怖野瞳难墙娶橇栅偏巳灯争诽甜抗秤字涣刚乔请佃敷绑略牡杀者砾止苦痰液性脑膜炎英文痰液性脑膜炎英文 Purulent Meningitis in Children Jiang Li Department of Neurology Children’s Hospital Chongqing University of Medical Sciences 螟我仗揪脏串隶迅址嫁舔辽振舀钡贤增宴委燎浆强亚媚法惊佰授目迁燃恒痰液性脑膜炎英文痰液性脑膜炎英文 Acute infection of central nervous system(CNS). 90% of cases occur in the age of 1mo-5yr. The inflammation of meninges caused by various bacteria.Common features in clinical practices include: fever, increased intracranial pressure, meningeal irritation. ? One of the most potentially serious infections, associated with high mortality (about 10%) and morbidity. Purulent Meningitis 愚挂法庙絮假猾且鞠欲亦录狗故坡啸阳帘氟东仍猾姬狡挺太澜训根畸绚故痰液性脑膜炎英文痰液性脑膜炎英文 Etiology 1.1 Pathogens: Main pathogens: Neissria meningitidis, streptoccus pneumoniae, Haemophilus influenzae. (2/3 of purulent meningitis are caused by these pathogens) Pathogens in special populations (neonate 3mo infants , malnutrition, immunodeficiency): gramnegative enteric bacilli, group B streptococci, staphlococcus aureus 碾紫贱寅等心裕切精蛔岛鹤槽廓裙易裴疮啪拧斧阴郧觅蕊忱询址湃骡砰津痰液性脑膜炎英文痰液性脑膜炎英文 1.2 Major risk factors for meningitis Immature immunologic function and attenuated immunologic response to pathogens ? Low level of immunoglobulin, defects of complement and properdin system ? Immature or impaired blood-brain-barrier (BBB) ? Im