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流行性脑脊髓膜炎(下称流脑),在起病初期易与其他热性病混淆,延误治疗时机,造成不良后果。现就4例早期误诊病例作初步分析如下.例1:男,12岁,学生,住院号37017。突然发热,头痛15小时,喷射性呕吐6次而于得病当天入院.患儿晨6时许起病,体温39℃,头痛剧烈,疑诊为流脑。查体与脑脊液均无阳性发现,故未确诊,予磺胺嘧啶内服观察。在返家途中,症状加重,遂到附近医院就诊,再查(两次相隔3小时许)脑脊液:混浊,白细胞布满视野,中性粒细胞为主,潘氏反应(十),糖(一),细菌(一).
Epidemic cerebrospinal meningitis (hereinafter referred to as meningitis), early in the onset of easy to be confused with other febrile diseases, delay the timing of treatment, resulting in adverse consequences. Now 4 cases of early misdiagnosed cases are as follows.Example 1: Male, 12 years old, student, hospitalization 37017. Sudden fever, headache 15 hours, jet vomiting 6 times and get sick on the day of admission. Children onset at 6 am, body temperature 39 ℃, severe headache, suspected diagnosis of meningitis. Physical examination and cerebrospinal fluid no positive findings, it is not diagnosed, given sulfadiazine orally observed. On the way home, the symptoms increased, then went to the nearby hospital for treatment, and then check (two separated by 3 hours Xu) cerebrospinal fluid: cloudy, white blood cells covered with vision, neutrophil-based, Pan’s reaction (X), sugar ), Bacteria (a).