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作者报道2例16月龄幼儿接种麻疹、流行性腮腺炎和风疹(MMR)疫苗后发生的流行性腮腺炎性脑膜炎.第1例患儿于入院前4天出现呕吐、发热和厌食,2天后出现烦躁症状.曾口服羟氨苄青霉素2天.体检发现,体温为39.4℃并有烦躁,但无颈项强直,也无腮腺肿大.外周血白细胞计数为11000/μl(淋巴细胞占71%).各种感染指标检查结果如下:脑脊液(CSF)中白细胞数为102/μl(淋巴细胞占98%),红细胞数为289/μl,蛋白含量未见升高,葡萄糖含量为2.9mmol/L(血糖5.5
The authors report the epidemic parotitis meningitis in two 16-month-old children vaccinated with measles, mumps and rubella (MMR). The first patient developed vomiting, fever and anorexia 4 days prior to admission, 2 Days after the symptoms of irritability. Has been oral amoxicillin 2 days. Physical examination found that body temperature was 39.4 ℃ and irritability, but no neck stiffness, parotid gland enlargement. Peripheral blood leukocyte count was 11000 / μl (71% of lymphocytes) The results of various infection indexes were as follows: the number of white blood cells in cerebrospinal fluid (CSF) was 102 / μl (lymphocytes accounted for 98%), the number of erythrocytes was 289 / μl, the protein content did not increase and the glucose content was 2.9mmol / L Blood sugar 5.5