【摘要】 上海市传染病院儿科自1966年7月至1984年6月共收治细菌性脑膜炎8315例,除流行性脑膜炎外,于1985年9～10月间随访到148例,其中有5例死亡。总的病死率为2.15％(179/8315);其中肺炎球菌脑膜炎为13.09％,流感杆菌脑膜炎为5.12％,细菌未明者为3.33％。访到的143例中有各种后遗症54例,发生率为37.76％,其中肺炎球菌脑膜炎者为40.47％,流感杆菌脑膜炎者为36.84％,未明者为35.89％。入院时发病超过5天,惊厥3次以上,有昏迷与硬膜下积液者与预后密切相关。更多还原

【Abstract】 From July 1966 to June 1984, 8315 children with bacterial meningitis, 6 days to 14 years old, were admitted, in which 179 died, a fatality rate of 2.15%. The fatality of pneumococcal meningitis was 13.09%, Hemophilus influenza meningits 5.12%, meningococcal meningitis 1.96%, meningitis of miscellaneous origin 25.0% and unknown etiology 3.33%. In October 1985, 148 cases other than meaingococcal meningitis were followed up, 5 died and 54 developed scqualac with various degrees of severity. The incidence of sequelaee in all eass was 37.76%, that of pneumoeoccal meningitis was 40.07%. Hemophilus influenza meningitis 36.84% and unknown etiology 35.89%. The factors as duration of illness (>5 days) before admission, repeated (>3 attacks) or continuous attacks of convulsions, occurrence of coma and subdural effusion are closely related to prognosis.更多还原