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47例流行性脑脊髓膜炎临床分析 被引量:1

Clinical Analysis of 47 Patients with Epidemic Cerebrospinal Meningitis
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摘要 目的了解流行性脑脊髓膜炎(流脑)的流行病学及临床特征。方法回顾性分析2005年6月-2007年5月我院收治的47例流脑病例的流行病学特点及临床资料。结果流脑全年均有发病,1~4月为高峰,主要发病年龄段为11~20岁,学生多见,临床症状典型,并发症均见于暴发型流脑;脑脊液呈典型化脓性改变;22份标本送市疾病预防控制中心血清分型,6份培养出脑膜炎奈瑟菌,其中5份为C群(83.3%)、1份为A群。结论我院收治的流脑患者可能主要由C群脑膜炎奈瑟菌引起,冬春季为发病高峰,青少年学生好发,临床特征典型,暴发型并发症发生率高。 Objective To explore the epidemiologic and clinical features of epidemic cerebrospinal meningitis( ECM ). Methods The clinical data of 47 cases with ECM that treated in the first Affiliated Hospital of Bengbu Medical College from June, 2005 to May,2007 was analyzed retrospectively. Results The ECM could break out in whole year,especially from January to April. Most of the patients were students of 11 to 20 years old. The clinical symptom of ECM was typical and the complication was found only in the fulminant type. The cerebrospinal fluid was typically changed to purulent one. The cultivation result of 22 samples showed that 6 samples was Neisseria meningitides in which 5 were serogroup C( 83.33% ) and 1 was serogroup A. Conclusions The ECM that we collected is possibly caused by serogroup C and break out generally in Winter and Spring every year. Most of patients are adolescents or students with typical clinical symptoms. The incidence of complications is high in fulminant ECM.
作者 张莉 王宗清
出处 《实用全科医学》 2008年第2期130-131,共2页 Applied Journal Of General Practice
关键词 流行性脑脊髓膜炎 流行病学 临床特征 Epidemic cerebrospinal meningitis Epidemiology Clinical feature
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