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1972年至1985年经细菌培养证实的细菌性脑膜炎66例(不包括脑膜炎双球菌和结核分枝杆菌致病者)的治愈好转率为69.7%、无效者6.1%、病死率24.2%。鞘内用药可以缩短病程和降低细菌性脑膜炎的病死率,使治愈好转率提高到93.7%(15/16例)。本文讨论了影响疗效的有关因素、抗生素的选用和使用原则。
66 cases of bacterial meningitis confirmed by bacterial culture between 1972 and 1985 (excluding meningococcus and M. tuberculosis) had a cure rate of 69.7%, an ineffective rate of 6.1% and a case fatality rate of 24.2%. Intrathecal medication can shorten the course of the disease and reduce the mortality of bacterial meningitis, the cure improvement rate increased to 93.7% (15/16 cases). This article discusses the factors that affect the efficacy of antibiotics selection and use of principles.