论文部分内容阅读
作者报告3例弗氏志贺氏菌(SF)感染并发暴发性迅速致命性脑病。病例报告例1～2(略)。例3。11岁,女孩。因突发头痛、发热入院。入院前2小时呕吐4次,并腹泻数次稀黄便。体检;嗜睡,发热(38℃),血压110/60mmHg,脉率130/分,律正。实验室检查结果正常。其后从粪中分离出2a型SF,口服氨苄青霉素,250mg,每8小时1次。入院后6小时癫痫大发作,迅即呼吸停止,对强刺激无反应。瞳孔扩大固定,对冷热或眼前庭试验无反应。脑脊液分析正常。大脑CT
The authors report three cases of Shigella flexneri (SF) infection complicated by an outbreak of rapidly fatal encephalopathy. Case reports 1 to 2 (omitted). Example 3.11 years old, girl. Due to sudden headache, fever admitted to hospital. Two hours before admission, vomiting 4 times, and diarrhea several times thin yellow. Physical examination; drowsiness, fever (38 ℃), blood pressure 110 / 60mmHg, pulse rate 130 / min, law positive. Laboratory test results are normal. Subsequent isolation from the feces of type 2a SF, oral ampicillin, 250mg, once every 8 hours. 6 hours after admission epileptic seizures, rapid breathing stopped, no response to strong stimulation. Pupil expansion fixed, no effect on hot and cold or eye vestibular test. Cerebrospinal fluid analysis is normal. Brain CT