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1981年11月至1985年8月我科收治临床表现不典型化脓性脑膜炎(简称化脑)23例,其中金黄色葡萄球菌脑膜炎(简称金葡脑)14例,流脑3例,产单核细胞李司忒氏菌(简称李氏菌)脑膜炎1例,甲型链球菌脑膜炎1例,大肠杆菌脑膜炎1例,绿脓杆菌脑膜炎1例,病原菌未明者2例。现依其突出表现分别加以分析,并举典型病例说明之。一、脑脊液正常或呈非化脓性改变 13例脑脊液检查结果如下:外观无色透明9例,微混2例,毛玻璃样1例,混浊1例;潘氏试验(-)~(±)6例,(+)2例,(++)3例,弱阳性1例,阳性1例;五管糖正常者10例,30~40mg%1例,<10mg%1例;1例未做,生化测定为62mg/dl;白细胞数<100者8例,
From November 1981 to August 1985, 23 patients with atypical purulent meningitis (abbreviated as “brain”) were treated in our department. Among them, 14 were Staphylococcus aureus meningitis (APF), 3 were meningitis 1 case of mononuclear Listeria (Lactobacillus), 1 case of Streptococcus aureus meningitis, 1 case of E. coli meningitis, 1 case of Pseudomonas aeruginosa meningitis and 2 cases of pathogen unknown. Now according to their outstanding performance were analyzed, together with the typical case description. First, the cerebrospinal fluid normal or non-suppurative changes in 13 cases of cerebrospinal fluid test results are as follows: appearance of colorless and transparent in 9 cases, micro-mixed in 2 cases, ground glass in 1 case, turbidity in 1 case; Pan’s test (-) ~ (±) 6 cases (+) In 2 cases, (++) in 3 cases, weakly positive in 1 case and positive in 1 case; five cases of normal sugar in 10 cases, 30-40mg% in 1 case, <10mg% in 1 case; Measured as 62mg / dl; white blood cell count <100 in 8 cases,