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流行性脑脊髓膜炎(流脑)对其典型的病例易于诊治,但对其不典型者,有时会延误诊断及治疗.因此,对不典型病例的早期诊断具有重要的意义.现将儿科1983年～1988年9月末收治的临床诊断为流脑的224例中,检菌阳性但在某些临床表现不典型的45例观察报告如下.不典型的临床表现1.缓慢起病(病史3～4天)者8例占17.8%.2.发热伴腹泻3例占6.7%.3.无典型的出血疹12例占26.7%(其中出血点伴充血疹3例,只有充血疹4例,无皮疹者5例).4.非喷射性呕吐者16例占35.6%.5.病程迁延不愈者17例占38.7%.6.末梢血白细胞<10×10~9/L10例占
Epidemic meningitis (meningitis) in its typical cases easy diagnosis and treatment, but for atypical cases, sometimes delayed diagnosis and treatment, therefore, atypical cases of early diagnosis is of great significance now Pediatrics 1983 In the end of September 1988 admitted to the clinical diagnosis of meningitis in 224 cases, positive bacteria but in some clinical manifestations of atypical cases reported in 45 cases are as follows: Atypical clinical manifestations 1. Slow onset (history of 3 ~ 4 days), 8 cases accounted for 17.8% .2 Fever with diarrhea in 3 cases accounted for 6.7% .3 12 cases of typical hemorrhagic rash accounted for 26.7% (3 cases of bleeding with congestive rash, only 4 cases of congestion, no Rash in 5 cases) .4 non-injection of vomiting in 16 cases accounted for 35.6% .5 duration of disease unhealed 17 cases accounted for 38.7% .6 peripheral blood leukocytes <10 × 10 ~ 9 / L 10 cases of