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化脓性脑膜炎(下称化脑)是小儿、尤其是婴幼儿时期较常见的急性感染性疾病之一,是多种化脓性细菌引起的脑膜炎症的总称。一、病原菌脑膜炎双球菌是可以造成流行的最重要的化脑病原菌。存非流脑流行年里,国内仍以肺炎球菌脑膜炎(下称肺脑)最多。国外报道流感杆菌脑膜炎(下称流杆脑)逐渐增多而跃居首位。近年来许多 G 菌如沙门氏菌、克雷伯菌、绿脓杆菌、不动杆菌等也成为化脑较常见的病原菌。阿米巴脑膜炎、弯曲菌脑膜炎已见报道,混合细菌性脑膜炎也有增多趋势,新生儿化脑以大肠杆菌为主,其次为变形杆菌、沙门氏菌、绿脓杆菌、产气杆菌和B 簇溶血性链球菌等。
Purulent meningitis (hereinafter referred to as brain) is one of the most common acute infectious diseases in infancy, especially in infants and young children. It is a general term for meningitis caused by a variety of purulent bacteria. First, the pathogenic bacteria meningococcus is the most important cause of the epidemic of brain pathogens. Prevent non-meningitis epidemic years, the domestic still pneumococcal meningitis (hereinafter referred to as pulmonary brain) up. Foreign reports of influenza bacillus meningitis (hereinafter referred to as stream pole) gradually increased and leapt to the first place. In recent years, many G bacteria such as Salmonella, Klebsiella, Pseudomonas aeruginosa, Acinetobacter also become the brain more common pathogens. Amoeba meningitis, Campylobacter meningitis has been reported, there is also an increasing trend of mixed bacterial meningitis, neonatal brain to Escherichia coli, followed by Proteus, Salmonella, Pseudomonas aeruginosa, A bacterium and B cluster Hemolytic streptococcus and so on.