Flaegstad T
Barneavdelingen, Regionsykehuset i Tromsø.
Tidsskr Nor Laegeforen. 1992 Nov 30;112(29):3684-7.
The treatment of children with bacterial meningitis includes many aspects, such as fluid and antibacterial therapy, treatment of convulsions, and prophylactic use of dexamethasone. This report focuses in particular on the prophylactic use of dexamethasone together with cefalosporines in order to reduce inflammation and neurological sequelae in this disease. Probably this approach is now justified in the treatment of meningitis caused by Haemophilus influenzae. Modern principles for fluid therapy and treatment of increased intracranial pressure are also discussed.
儿童细菌性脑膜炎的治疗包括多个方面，如液体和抗菌治疗、惊厥治疗以及地塞米松的预防性使用。本报告特别关注地塞米松与头孢菌素联合的预防性使用，以减轻该疾病的炎症和神经后遗症。也许这种方法目前在流感嗜血杆菌引起的脑膜炎治疗中是合理的。还讨论了液体治疗和颅内压升高治疗的现代原则。
