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本文报告2例流行性脑膜炎并发肺水肿.例1为21岁男性,系败血症型.入院后给予氢化可的松、磺胺二甲基嘧啶和青霉素治疗,但病情迅速恶化,出现肺水肿征,抢救无效死亡.尸检证实为基底性脑膜炎,并有临终性肺炎和右心室显著扩张,肾上腺出血水肿.例2为19岁男性,发病3小时入院,即用磺胺二甲基嘧啶静注和青霉素鞘注治疗.入院6小时后发生肺水肿,经治疗后一度控制,后再次发作,肺动脉楔压显著升高,最后治疗无效死亡.尸检证实为基底性
This article reports 2 cases of meningococcal meningitis complicated with pulmonary edema.Example 1 is a 21-year-old male with septicemia type.After admission to give hydrocortisone, sulfamethazine and penicillin treatment, but the condition deteriorated rapidly, pulmonary edema, Rescue invalid died .Physiological confirmed meningitisBasic meningitis, and there is a significant expansion of the terminal pneumonia and right ventricle, adrenal hemorrhage and edema .Example 2 is a 19-year-old man, the incidence of 3 hours admission, that is, intravenous sulfamethazine and penicillin Intrathecal injection treatment of pulmonary edema occurred 6 hours after admission, after treatment once the control, and then attack again, pulmonary arterial wedge pressure was significantly increased, and finally died of treatment.