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本文收集了原发性、继发性化脓性脑膜炎与脑膜脑炎病例,60～82岁分别56例、39例,20～40岁分别170例、40例作对照。老年组以亚急性或渐进性起病较多,急性起病时症状典型,寒颤、发热、头痛占80%以上,呕吐占69%。神经定位症状、病理反射、神智改变比对照组高。老年组原发性病例中脑膜炎占21.5%,脑膜脑炎占78.5%,合并脑膜炎双球菌菌血症占44%。对照组原发性病例中分别占54.8%、45.2%、33%。老年人中脑膜脑炎占优势,且菌血症也多。老年组与对照组CSF恢
This article collected primary and secondary cases of purulent meningitis and meningoencephalitis, 60 to 82 years old, 56 cases, 39 cases, 20 to 40 years old, 170 cases, 40 cases as a control. Older group to subacute or progressive onset more acute onset symptoms, chills, fever, headache accounted for more than 80%, vomiting accounted for 69%. Nerve localization symptoms, pathological reflexes, changes in mind than the control group. In the elderly group, meningitis accounted for 21.5% of primary cases, meningoencephalitis accounted for 78.5%, and meningococcal bacteremia accounted for 44%. The control group of primary cases accounted for 54.8%, 45.2%, 33%. Mesentery in the elderly encephalitis dominant, and bacteremia are also many. CSF recovery in the elderly and control groups