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目的研究分析成人化脓性脑膜炎的临床特点,以提高成人化脓性脑膜炎的治疗效果。方法选取24例成人化脓性脑膜炎患者作为研究对象,回顾性分析患者的临床资料,总结出成人化脓性脑膜炎的临床特点。结果通过生化检查结果确诊患者均为化脓性脑膜炎,在脑脊液培养菌中,发现14例患者呈现阳性,链球菌感染7例,大肠埃希菌感染3例,金黄色葡萄球菌、表皮葡萄球菌、肺炎杆菌以及肺炎克雷伯菌感染各1例;所有患者经抗感染治疗后,好转22例,2例死亡,患者平均住院时间为(12.4±3.2)d。结论大部分成人化脓性脑膜炎患者病因较为明确,临床症状并不具有特异性,进行脑脊液与颅脑影像学检查有利于病情诊断,临床治疗可根据脑脊液细菌培养结果与药敏试验予以恰当的药物治疗,提高临床治疗效果。
Objective To study and analyze the clinical features of adult purulent meningitis in order to improve the curative effect of adult purulent meningitis. Methods Twenty-four adult patients with purulent meningitis were selected as study subjects. The clinical data of patients were retrospectively analyzed. The clinical features of adult purulent meningitis were summarized. Results The results of biochemical tests confirmed that patients were purulent meningitis. In CSF cultures, 14 patients were positive, 7 were streptococcal, 7 were Escherichia coli, 3 were Staphylococcus aureus, Staphylococcus epidermidis, Klebsiella pneumoniae and Klebsiella pneumoniae infection in 1 case; all patients after anti-infective treatment, improved in 22 cases, 2 patients died, the average length of stay in hospital was (12.4 ± 3.2) d. Conclusions The majority of adult purulent meningitis patients have definite causes and clinical symptoms are not specific. Cerebrospinal fluid and brain imaging examination is conducive to the diagnosis of disease. Clinical treatment may be based on the results of cerebrospinal fluid bacterial culture and drug susceptibility testing Treatment, improve clinical treatment.