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脑膜炎球菌感染临床表现的多型性,目前尚不为一般临床医务人员尤其是基层医务人员所熟悉,漏诊、误诊率甚高,给本病的防治造成困难。现将近年国内外有关报道整理综述如下,以提高对该病的诊治水平。一、上呼吸道感染(鼻咽炎)型此型大部分病人没有症状或症状轻微,仅培养找到该菌。可同时伴有病毒,支原体感染,呈现鼻咽炎表现。主要症状为头痛、咽喉发痒与痛疼、咳嗽、鼻塞,有如伤风感冒;但常有鼻咽部粘液—浓性分泌物、巩膜与结膜血管充血,体温可正常(40％),但多在37.3℃～37.8℃之间,热程1～3日,仅个别病人微热持续
The clinical manifestations of meningococcal type of polymorphism, currently not yet for general clinical medical staff, especially grass-roots medical staff are familiar with, missed diagnosis, misdiagnosis rate is very high, to prevent the prevention and treatment of this disease. Now in recent years, domestic and foreign reports collated as follows, in order to improve the diagnosis and treatment of the disease. First, the upper respiratory tract infection (nasopharyngitis) type Most of the patients without symptoms or symptoms of this type, only to find the bacteria culture. May be accompanied by viruses, mycoplasma infection, nasopharyngeal manifestations. The main symptoms are headache, itchy and painful throat, cough, nasal congestion, such as colds; but often nasopharyngeal mucus - secretions, sclera and conjunctival vascular congestion, body temperature can be normal (40%), but more 37.3 ℃ ~ 37.8 ℃, the heat 1 to 3 days, only a few patients sustained micro-fever