Purulent meningitis
Septic from a variety of bacterial meningitis is caused by inflammation of the meninges purulent. With fever, vomiting, headache, irritability, and with meningeal irritation sign of change and meningeal ridge as the main clinical features. Infant Section of the disease is common infectious diseases. Lead to the pathogen of the disease incidence and types of age-related, a few freshmen to E. coli, Staphylococcus aureus encephalitis; infants and young children with Streptococcus pneumoniae, Haemophilus influenzae encephalitis; children over the age of 3, Staphylococcus aureus to lead to. Most of the onset of acute illness weight, easy to appear Jingfeng, coma, a string of deaths and a higher incidence of sequelae.
[Clinical]
1. Escherichia coli meningitis: more common in less than three months of birth of the baby, especially the newborn and premature infants susceptible. Producing bacteria, mainly from the mother and infant gut, umbilical, suffering from abdominal baits are easier to disease, poor prognosis and high mortality.
2. Haemophilus influenzae meningitis:in three months-3-year-old children, more than the autumn. Most onset urgency, a sudden high fever, vomiting, convulsion. Onset of the slower, the first significant history of respiratory tract infection, or a few days after a 1-2 weeks of meningitis, may even see with rash.
3. Streptococcus pneumoniae meningitis incidence higher things, second only to meningitis, more common in babies under one year, often in the winter and spring seasons in the secondary respiratory inflammation, sepsis or trauma, such as brain, neck stiffness was not obvious early, the disease Can be deferred or recurrent. May be complicated by subdural empyema, or fluid, brain abscess, hydrocephalus, the general condition heavier.
4. Staphylococcus encephalitis: The main caused by Staphylococcus aureus, the incidence of all ages are more occurred in the summer. Omphalitis often, impetigo, cellulitis, such as the precursor of history, can be associated with pneumonia, lung abscess, liver abscesses, osteomyelitis, such as purulent lesions. In the course of disease may appear urticaria, scarlet fever and rash-like skin lesions, such as impetigo.
Children of different ages have clinical features:
1. Newborns and infants under three months of performance is not typical. High temperature may be low, and even the temperature does not rise, often anti-feeding, spit milk, lethargy, Ti panic, screaming, convulsions, looking Qinghui, the former Xin full or uplift, meningeal irritation sign appeared late.
2.3 on -2-year-old children with fever, vomiting, irritability, Yiji Re, seizures, make them apathetic, sleepiness or coma. Neck stiffness, the former Xinpeng Long, a meningeal irritation sign.
3,2 children over the age of symptoms and signs of growing typical, with the exception of a headache, there are back pain, joint pain, and other complained of muscle, meningeal irritation levy significantly.
[Diagnosis]
1. Onset before purulent infection.
2. Acute onset, fever, vomiting, central nervous system disorders, meningeal irritation positive sign, such as increased intracranial pressure, weight can occur cerebral hernia, and even respiratory failure, or can cause shock.
3. Laboratory
WBC and the total number of neutrophils significantly higher proportion.
increased cerebrospinal fluid pressure, the appearance of turbidity or pus-like. Cells have markedly increased, accounting for the vast majority of neutrophils, the quantitative reduction of sugar, protein increased significantly. The Pap smear can be found in the cerebrospinal fluid pathogens.
[Treatment]
1. Western medicine treatment
antibiotic treatment: choice of high-dose penicillin, chloramphenicol, ampicillin, cefotaxime, such as antibiotic Cefuroxime. According to the best of bacterial culture and sensitivity test results optional.
symptomatic treatment: cooling, sedation, dehydration, anti-shock .
2, Chinese medicine treatment
Xiedu committed brain: first with flu, pneumonia, diarrhea, omphalitis, fever not to agitate and headache, crying scream, eyes staring lethargy coma, convulsions, vomiting, neck stiffness, Xin full doors, Shehong Moss yellow, or fingerprint clock slip a few purple.
Treatment: heat Xiehuo, Kaiqiao away.
Recipe: antelope horn powder 1.5 grams, Shengshi Gao 25 grams, 10 grams baicalin, Huanglian 1.5 grams, Gardenia six grams, 10 grams Zhimu, Scrophulariaceae 10 grams, 10 grams paeonol, the Health and licorice 3 grams.
Chinese patent medicine: Dan Yu-shu, Niuhuang Qingxin pill,.
of septic poisoning plot: fever not to more than a headache, drowsiness, convulsions, Xin door uplift, neck stiffness, or blindness, deafness, facial paralysis and limb paralysis Dengzheng.
Treatment: Consumers of detoxification, Consumers carbuncle Painong.
Recipe: honeysuckle 10 grams, 10 grams Forsythia, Baicalin 10 grams, 1.5 grams Huanglian, wild chrysanthemum 10 grams, 10 grams dandelion, Zaojiao thorn three grams, 10 grams purple Taoren to 10 grams, Health Adlay 10 Grams, 10 grams cassia seed, Zhuru 10 grams, 10 grams mulberry stalk.
Love is virtual heresy: low heat or temperature fluctuations or not, God wilt lethargy, drowsiness fatigue, looking white white, lips Sedan, underdeveloped limbs, temperature, light moss white tongue, small virtual network.
Treatment: Yiqi centralizer, Torricelli through septic.
Recipe: Radix Pseudostellariae 10 grams, 10 grams of Health Astragalus, Baizhi 10 grams, 10 grams pangolins, Cimicifuga 10 grams, 10 grams dandelion, Polygonum cuspidatum 10 grams, 10 grams baicalin, Huang Jing 10 grams, 10 grams of Angelica.
[Prevention and tone]
1. Prevention and treatment of all active infectious diseases.
2. Closely monitor patients vital signs, the ground unconscious patients to stand up, and more shoot back, suction. Can not eat or nasal feeding to give intravenous nutrition, eating can be given easy to digest and rich in nutrition liquid or semi-liquid food.
3. Aftermath left to be functional recovery training.
