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暴发型流脑(以下简称暴脑)是流脑中最严重的一型,对儿重危害极大。初期症状不典型或病程中并发DIC、肺水肿及消化道出血等易与某些疾病相混淆,而造成误诊。我院从1975年1月至1984年6月误诊13例,现分析如下。一、临床资料(一)一般资料:男6例,女7例。年龄在3个半月至59岁,其中5岁以下10例(76.9％)。发病月份:1至5月份10例,10至12月份3例。(二)临床表现:全部病例均有发烧,超过39℃以上者6例;皮疹11例;面色苍白、四肢发凉腹胀、烦躁、项强各8例;呕吐、血压下降、口唇发绀各7例;惊厥、昏迷各6例;阳性克氏征4例:头痛、无尿、呕吐咖啡色物各3例;皮肤发
Outbreak of meningitis (hereinafter referred to as brain violence) is the most serious type of meningitis, a great harm to children. The initial symptoms of atypical or concurrent DIC in the course of the disease, pulmonary edema and gastrointestinal bleeding easily confused with certain diseases, resulting in misdiagnosis. Our hospital from January 1975 to June 1984 misdiagnosed 13 cases, are analyzed as follows. First, the clinical data (A) General Information: 6 males and 7 females. The age ranged from 3 months and a half to 59 years, of whom 10 (76.9%) under 5 years of age. The onset of the month: January to May 10 cases, 10 to December in 3 cases. (B) of the clinical manifestations: all cases have a fever, more than 39 ℃ in 6 cases; skin rash in 11 cases; pale, limbs and cold bloating, irritability, Xiangqiang 8 cases; vomiting, blood pressure, ; Seizures, coma in 6 cases; positive Kirschner sign in 4 cases: headache, anuria, vomiting coffee brown matter in 3 cases; skin hair