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流行性脑脊髓膜炎(简称流脑)诊断一般不难,但在流行季节也可将其他疾病误诊为流脑。我院1977年～1987年收治的病人中,有30例误诊为流脑,包括12个病种。现将易误诊为流脑的疾病结合病例分析如下。一、因细菌形态近似于脑膜炎双球菌误诊为流脑例1.男,4岁。因发热4天,抽搐1次,用青霉素和磺胺嘧啶钠治疗4天无效入院。查体:体温38.8℃,血压80/50mmHg。精神萎靡,四肢冰凉,皮肤散在瘀点。心肺腹正常,无脑膜刺激征。末梢血白细
Epidemiological meningococcal meningitis (referred to as meningitis) is generally not difficult to diagnose, but in the epidemic season may misdiagnose other diseases as meningitis. In our hospital from 1977 to 1987, 30 patients were misdiagnosed as meningitis, including 12 diseases. Will now be misdiagnosed as meningitis disease combined with case analysis is as follows. First, due to bacterial morphology similar to meningitis misdiagnosed as meningitis case 1. Male, 4 years old. 4 days due to fever, convulsions 1, with penicillin and sulfadiazine sodium for 4 days invalid admission. Physical examination: body temperature 38.8 ℃, blood pressure 80 / 50mmHg. Apathetic, cold limbs, skin scattered petechia. Cardiopulmonary abdominal normal, no meningeal irritation. Peripheral blood white