小儿化脓性脑膜炎误诊为病毒性脑炎原因分析

目的 :探讨小儿化脓性脑膜炎 (化脑 )误诊为病毒性脑炎 (病脑 )的原因和防范对策。方法 :对 2 3例患者进行系统性回顾分析。结果 :小儿化脑误诊为病脑的误诊率为 13.2 2 % ,主要原因是早期脑脊液无改变和缺乏对病史、症状、体征及辅助检查等资料的综合分析。结论 :对可疑化脑者在用有效抗生素情况下 ,12 h～ 2 4h后复查脑脊液 ,并常规行脑脊液涂片、培养和血 C反应蛋白、白细胞凝集等检查以协助诊断

Analysis on the infantile suppurative menigitis being misdiagnosised as viral encephalitis

Objective:In order to probe into the cause and preventive measure of Infantile Suppurative Meningitis (ISM) being misdiagnosised as viral encephalitis(VE).Methods:Systematically analysed 23 cases of patients.Results:The ratio of ISM being misdiagnosised as VE were 13.22 %. The main reason were that there was no change in early cerebrospinal fluid and lack of compregensive analysis on the mterials of medical history,symptoms,physical sign and accessory examination.Conclusion:After cheating the suspicious ISM with effective antibiotie,cerebrospinal fluid is reviewed after 12 to 24 hours,and the smearing and culture of cerebrospinal fluid,the blood CRP and leukoagglutination are examed to assist the diagnosis.