Prediction of Morbidity in Hemophilus influenzae Meningitis

作者: Victor C. Herson , James K. Todd

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摘要: A dramatic decrease in mortality from Hesnophilus influenzae meningitis has occurred recent years. Morbidity and long-term sequellae remain significant problems. follow-up investigation of 73 cases H. seen over a three-year period revealed: 2 deaths, 6 children with major (retardation, spastic quadriplegia, blindness, persistent seizure disorder), 10 minor residua, 55 no detectable disability. Statistical analysis clinical parameters demonstrated risk death or morbidity those patients who, at the time admission, had seizures, coma, hypothermia, shock, age less than 12 months, hemoglobin 11 gm/100 ml, pretreatment symptoms for longer three days, spinal fluid white blood cell count 1,000/cu mm, glucose value 20 mg/100 ml. Using these parameters, highest having lasting can be predicted, allowing more vigorous intensive care which may reduce further.

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