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腰麻引起脑膜炎是罕见的,埃及开罗 Abbassia Fever 医院五年收住1429例脑膜炎患者,其中有17例近期作过腰麻,作者报道腰麻后2～30天(平均9天)出现脑膜症状。入院前已有症状1～83天(平均15天)16例 CSF 白细胞平均6789个/mm~3,1例为脓性。除1例脊椎 Pott 氏病外,其他患者 CSF 多核形细胞增多,CSF 葡萄糖平均23mg/dl,蛋白平均222mg/dl。有6例细菌培养阳性。绿脓杆菌4例;金黄色葡萄球菌与链球菌各1例。另4例开始时 CSF培养阴性,5～45天后培养为绿脓杆菌。全部患者入院不久即给抗菌素治疗。6例绿脓杆菌4例用多粘菌素 B,其中2例鞘内给药;有2例未用多粘菌素 B,1例对氯霉素敏感,另1例培养阳性当日即死亡。2例Pott 氏病培养阴性,给予抗结核性脑膜炎治疗。5例曾给青霉素及氯霉素后 CSF 培养阴性,其中1例
Spinal cord causes meningitis is rare, Abbassia Fever Hospital, Cairo, Egypt, to accept 1429 cases of meningitis in five years, of which 17 cases have recently been made of spinal anesthesia, the authors reported 2 to 30 days after spinal anesthesia (average 9 days) symptom. Pre-admission symptoms have been 1 to 83 days (average 15 days) 16 cases of CSF leukocytes average 6789 / mm ~ 3, 1 case of purulent. Except one case of Pott’s disease of the spine, CSF polyplex cells increased in other patients, with an average CSF glucose of 23 mg / dl and a protein average of 222 mg / dl. 6 cases of bacterial culture positive. Pseudomonas aeruginosa in 4 cases; Staphylococcus aureus and streptococcus in 1 case. The other 4 cases were negative at the beginning of CSF culture and were cultured as Pseudomonas aeruginosa after 5 to 45 days. All patients were given antibiotics immediately after admission. 6 cases of Pseudomonas aeruginosa 4 cases with polymyxin B, of which 2 cases were administered intrathecally; 2 cases without polymyxin B, 1 case of chloramphenicol-sensitive, and the other one case of positive culture that died on that day. Two cases of Pott’s disease were negative and given anti-TB meningitis treatment. Five cases had penicillin and chloramphenicol after CSF culture negative, of which 1 case