[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fKXHkjL7DARnEwoB52Ho8UjeXPQewrqJcwAOkCO9VZks":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":67},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":63},6499,"肠道革兰阴性杆菌脑膜炎"," 肠道革兰阴性杆菌脑膜炎的症状、预防与治疗方法"," 肠道革兰阴性杆菌脑膜炎, 脑膜炎症状, 脑膜炎预防, 脑膜炎治疗, 革兰阴性杆菌感染"," 了解肠道革兰阴性杆菌脑膜炎的症状、预防措施和治疗方法，帮助识别和应对这种严重的脑部感染，提高生存率和生活质量。",[18,23,28,33,38,43,48,53,58],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},154290,"概述","\u003Cp>　　肠道革兰阴性杆菌脑膜炎是由肠杆菌科的细菌，包括大肠杆菌沙门菌属、枸橼酸杆菌、产气或阴沟肠杆菌、克雷伯菌、变形杆菌、爱德华菌属等多种革兰阴性杆菌。该类细菌在肠道中一般不引起疾病，仅在某些条件下，进入其他脏器时才具有致病性，故称条件致病菌。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},154291,"病因","\u003Cp>　　肠道革兰阴性杆菌脑膜炎是由肠杆菌科的细菌，包括大肠杆菌、沙门菌属、枸橼酸杆菌、产气或阴沟肠杆菌、克雷伯菌变形杆菌、爱德华菌属等多种革兰阴性杆菌引起。\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},154292,"症状","\u003Cp>　　常见症状：头痛、呕吐、发热\u003C/p>\u003Cp>　　与其他细菌性脑膜炎相似。但新生儿，尤其是早产儿常缺乏典型的临床表现，易于误诊。这是由于新生儿的前囟、后囟、骨缝未闭，颈肌不发达，中枢神经系统发育不完善，故颅内高压的表现及颈强直的体征常不明显。主要表现为吮乳无力吮乳减少甚至拒食，精神萎靡，呕吐，烦躁，尖叫，嗜睡，呼吸困难，发绀等体温多不稳定，早产儿体温常不升，足月儿可有发热。儿童期起病较急，有高热、头痛、食欲缺乏、呕吐精神萎靡等症状，起病时神志一般清醒，病情进展则可出现谵妄、惊厥昏迷甚至休克。颅压明显增高时可致脑疝，出现瞳孔、呼吸和心率改变甚至有呼吸及循环衰竭。\u003C/p>\u003Cp>　　本病极易并发脑室膜炎，是造成预后不良和严重后遗症的原因之一。有弥漫性脑膜炎者出现高热、持续性头痛和颈强直。头痛早期局限于患侧，以后头痛加重。并波及整个头部重者发生抽搐昏迷等耳源性脑膜炎常同时有血栓性静脉窦炎或脑脓肿应予注意。有败血症者可出现黄疸、瘀点、腹胀、肝脾肿大、休克等。\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},154293,"检查","\u003Cp>　　检查项目：脑Ct、脑脊液检查、血常规、电解质\u003C/p>\u003Cp>　　1.实验室检查\u003C/p>\u003Cp>　　腰椎穿刺作脑脊液常规、涂片和培养检查。涂片阴性时，可作为溶解物试验及乳酸脱氢酶测定乳胶凝集试验、对流免疫电泳、直接免疫荧光抗体试验，检测脑脊液中细菌抗原快速、灵敏、特异性强不受抗生素治疗影响，对诊断本病有临床意义。\u003C/p>\u003Cp>　　2.其他辅助检查\u003C/p>\u003Cp>　　X线检查常有乳突骨质破坏。\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},154294,"鉴别","\u003Cp>本病应与其他化脓性脑膜炎,病毒性脑膜炎,结核性脑膜炎相鉴别。\u003C/p>\u003Cp>\u003C/p>",4,{"id":44,"classification":45,"description":46,"sort":47,"diseaseId":12},154295,"并发症","\u003Cp>　　肠道革兰阴性杆菌脑膜炎可并发脑室膜炎。\u003C/p>\u003Cp>\u003C/p>",5,{"id":49,"classification":50,"description":51,"sort":52,"diseaseId":12},154296,"预防","\u003Cp>　　不同时期各种化脓菌在病因学上所占地位不同，也有明显的地理差异。以肺炎球菌者最多，其次为流感杆菌。我国脑膜炎球菌、肺炎球菌及流感杆菌所引起者占整体的三分之二，但在欧美各国，流感杆菌脑膜炎所占比例较高，可能与社会菌群差异、人群免疫状态不同有关。不同年龄感染的致病菌也有很大差异，新生儿易发生肠道革兰阴性杆菌脑膜炎，如大肠杆菌、变形杆菌、绿脓杆菌、产气杆菌等。\u003C/p>",6,{"id":54,"classification":55,"description":56,"sort":57,"diseaseId":12},154297,"治疗","\u003Cp>　　本病除对症治疗和支持疗法外，早期合理选择有效的抗生素治疗极为重要。鉴于革兰阴性杆菌常对多种抗生素耐药，一般应结合细菌培养与药物敏感试验结果决定抗菌药物的选用。\u003C/p>\u003Cp>\u003C/p>",7,{"id":59,"classification":60,"description":61,"sort":62,"diseaseId":12},154298,"饮食","\u003Cp>　　注意营养，清淡饮食。\u003C/p>",8,[64,65,66],"神经内科","传染科","急诊科",true]