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[脑膜炎球菌感染的既往抗生素治疗]

[Previous antibiotic treatment in meningococcal infections].

作者信息

García Muñoz M T, Espinosa Pérez J, Franganillo Fernández A, Cerezo Pancorbo J M, Sánchez Badía J L

出版信息

An Esp Pediatr. 1986 Apr;24(4):213-6.

PMID:3729188
Abstract

Seventy four cases of meningococcal infection were studied. They attended the "Valle del Nalón" Hospital in Asturias, from february 1979 until january 1985. Seven children died (9.4%). We divided them into two groups: A, without any previous antibiotic treatment when they arrived at the hospital (58 cases), and B, with previous antibiotic treatment (16 cases). All the children who died belonged to group A. Only 56.2% from group B had petechias, contrasting greatly with the 93.1% in group A. The most predominant meningococcus was from the serum group B. In the 22 cases of meningitis brainstem auditory evoked response was carried out to detect any hearing impairment. This was found in 21.7% of the cases.

摘要

对74例脑膜炎球菌感染病例进行了研究。这些病例于1979年2月至1985年1月期间在阿斯图里亚斯的“纳隆河谷”医院就诊。7名儿童死亡(9.4%)。我们将他们分为两组:A组,入院时未接受过任何抗生素治疗(58例);B组,此前接受过抗生素治疗(16例)。所有死亡儿童均属于A组。B组仅有56.2%的患儿出现瘀点,与A组的93.1%形成鲜明对比。最主要的脑膜炎球菌属于血清B群。在22例脑膜炎病例中,进行了脑干听觉诱发电位检查以检测是否存在听力损害。在21.7%的病例中发现了听力损害。

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