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暴发型流行性脑脊髓膜炎(fulminant meningococcal meningitis,FM)是十分凶险的急性传染病,常可并发心功能不全。我们对此类病人心肌进行组织学及超微结构研究,探讨引起心功能不全的一些原因。材料与方法南京市传染病医院1975～1994年共尸检FM病人18例,其中16例生前有明确的心功能不全。男11例,女5例;年龄6月～13岁。病人在入院前后做脑脊液、血培养或死后心血培养,发现脑膜炎双球菌A型。其中临床诊断为休克型9例,脑膜脑炎型5例,混
Fulminant meningococcal meningitis (FM) is a very dangerous acute infectious disease, often complicated by cardiac insufficiency. We performed histological and ultrastructural studies of these patients’ myocardium and explored some of the causes of cardiac dysfunction. Materials and Methods Nanjing Infectious Disease Hospital from 1975 to 1994, a total of 18 patients with autopsy FM patients, of which 16 had a clear heart failure before birth. There were 11 males and 5 females, aged from 6 months to 13 years old. Patients before and after admission to do cerebrospinal fluid, blood culture or after-death blood culture and found meningococcus A-type. Including clinical diagnosis of shock in 9 cases, 5 cases of meningoencephalitis, mixed