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目的探究新生儿化脓性脑膜炎合并脊髓膜炎1例患儿的诊疗方法。方法对1例化脓性脑膜炎合并脊髓膜炎患儿进行辅助检查,确诊,结合药敏试验结果,进行青霉素钠抗感染治疗,并给予单唾液四己糖神经节苷脂钠注射液营养神经,分析治疗效果。结果两周后患儿好转出院,出院时体温正常;双上肢可挪至胸前,双手能握持物品,左手肌力稍弱于右手,四肢肌张力约3~4级;神经系统显示拥抱(+)、觅食(+)、吸吮(+)、握持(+)。结论新生儿化脓性脑膜炎病死率及致残率较高,早发现、早诊断、积极治疗比较重要。
Objective To investigate the diagnosis and treatment of 1 case of neonatal purulent meningitis complicated with meningitis. Methods One case of purulent meningitis combined with meningitis in children with ancillary examination, diagnosis, combined with drug susceptibility test results for penicillin sodium anti-infection treatment and given a single saliva tetrahexose ganglioside sodium injection of nutrient nerves, Analysis of treatment. Results Two weeks later, the children were discharged and discharged, and the body temperature was normal at discharge. The upper extremities could be moved to the chest, the hands could hold the articles, the left hand muscle was slightly weaker than the right hand, and the muscle tension of limbs was about 3-4; +), Foraging (+), sucking (+), holding (+). Conclusion neonatal purulent meningitis mortality and disability rate higher, early detection, early diagnosis, active treatment is more important.