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一、对暴发型脑膜脑炎型流行性脑脊髓膜炎的认识过程与經驗教训:在暴发型流脑中,过去对敗血症型(华弗氏綜合征)报导較多。对病势同样凶险而多在短时間內造成死亡的脑膜脑炎型則重視不够。我院于1963年曾見一个6岁男孩,因发热、头痛来診,步行入病房,面色极差,腰穿脑脊液混浊,血及脑脊液培养均为脑膜炎双球菌。腰穿后抽风,血压上升达160/120毫米汞柱、呼吸突然停止死亡。发病到死亡共12小时。此后又遇类似病例3例,均为突然呼吸衰竭死亡,其中2例尸解証明有明显脑水肿与小脑扁桃体疝(詳見病理所見)。可能脑疝为直接致死原因。使我們对脑膜脑炎型流脑有了初步认識,和以下几点經驗教訓:
First, the outbreak of meningoencephalic meningitis epidemic epistemology process and lessons learned: In fulminant meningitis, sepsis in the past (Report of Warfrey syndrome) more. Meningococcal encephalitis type, which is equally dangerous and causes death in a short period of time, is not enough. In 1963, our hospital had seen a 6-year-old boy who came to the ward because of fever and headache. He was walking into the ward and had a very poor looking face. Mucous cerebrospinal fluid was clogged in the lumbar spine. Both blood and cerebrospinal fluid cultures were meningococcus. Lumbar ventilation, blood pressure rose up to 160/120 mm Hg, breathing suddenly stopped to death. The incidence to death a total of 12 hours. Since then encountered a similar case in 3 cases, all died of sudden respiratory failure, of which 2 cases of autopsy proved cerebral edema and cerebellar tonsillar hernia (see pathology see). Herniation may be the direct cause of death. So that we have a preliminary understanding of meningoencephalitis, and the following lessons: