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化脓性脑膜炎(简称化脑)是婴幼儿常见病之一,婴幼儿抵抗力低,早期诊断又较困难,由此而延误诊断,极易造成死亡或留下严重后遗症。本病死亡率在婴儿期仅次于肺炎、败血症居第三位,后遗症发生率高达22.7％。现就几个临床问题进行综述。一、小儿化脑的临床特点多数化脓性细菌均能成为小儿化脑的致病菌。除脑膜炎双球菌之外,以肺炎球菌及流感杆菌多见。本病致病菌的种类,因地点、年龄不同而有所差异;新生儿化脑多由肠道的革兰氏阴性杆菌所致。致病菌可经多种途径到达脑膜、主要有:细菌
Purulent meningitis (referred to as the brain) is one of the common infants and young children, infants and young children with low immunity, early diagnosis and more difficult, resulting in delayed diagnosis, can easily lead to death or serious sequelae. The mortality of this disease is second only to pneumonia in infancy, sepsis ranks third, the incidence of sequelae is as high as 22.7%. Several clinical issues are summarized. First, the clinical features of the brain of children Pediatric purulent bacteria can become the brain pathogenic bacteria. In addition to meningococcus, to pneumococcus and influenza bacillus more common. Pathogenic bacteria of this type, due to location, age and vary; neonatal brain and intestinal Gram-negative bacteria caused by. Pathogens can reach the meninges in many ways, mainly including: bacteria