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我院收治新生儿化脓性脑膜炎40例,其中误诊30例,误诊率为75.0％,误诊为败血症15例(并肺炎4例、脐炎5例),上呼吸道感染4例,新生儿肺炎3例,肠炎并脱水3例等。误诊时间越长、病死率越高,其中～7天15例,治愈14例,自动出院1例,而～28天共15例,仅8例治愈,死亡4例、自动出院3例。对本病要详细询问病史,寻找感染因素,重视本病的早期诊断,总结了几点经验教训。
40 cases of neonatal purulent meningitis were admitted to our hospital, of which 30 were misdiagnosed, the misdiagnosis rate was 75.0%, misdiagnosed as sepsis in 15 cases (and pneumonia in 4 cases, omphalitis in 5 cases), upper respiratory tract infection in 4 cases, neonatal pneumonia 3 Cases, enteritis and dehydration in 3 cases. The longer the misdiagnosis time, the higher the case fatality rate. Among them, 15 cases were treated with ~ 7 days, 14 cases were cured, 1 case was discharged automatically and 15 cases were ~ 28 days. Only 8 cases were cured, 4 cases died and 3 cases were discharged automatically. The history of the disease to ask in detail, looking for infection, the importance of early diagnosis of the disease, summed up a few lessons learned.