1975年至1987年我院收治临床诊断为婴儿流行性脑脊髓膜炎(简称流脑)84例,现将其中检菌阳性的63例结合文献对诊断、治疗进行分析,探讨适用于基层医疗单位的诊疗方法。临床资料一、一般资料男28例,女35例。40天～6个月26例,～12个月37例。从发病到入院平均44.8小时。全部病例均无流脑预防接种史。普通型42例,暴发型21例(休克型14例,混合型6例,脑膜脑炎型1例)。死亡6例,病死率为9.5%。二、临床表现全部病例入院前均进行过对症治疗,故高热只有18例,其余均为中、低热。神志改变 From 1975 to 1987, 84 cases of epidemic meningococcal meningitis (referred to as meningitis) in our hospital were admitted to our hospital. The diagnosis and treatment of 63 cases with positive bacteriological examination were analyzed. Diagnosis and treatment methods. First, the general information of 28 males and 35 females. 40 days to 6 months in 26 cases, ~ 12 months in 37 cases. From onset to admission average 44.8 hours. No case of meningitis prevention vaccination history. There were 42 cases of common type and 21 cases of fulminant type (14 cases of shock type, 6 cases of mixed type and 1 case of meningoencephalitis type). 6 died, the case fatality rate was 9.5%. Second, the clinical manifestations of all cases were admitted to hospital before the symptomatic treatment, so only 18 cases of high fever, the rest are in the low fever. Change your mind