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      • 小兒 腦膜炎의 比較考察

        鄭鏞憲,朴快鍾 충남대학교 의과대학 지역사회의학연구소 1982 충남의대잡지 Vol.9 No.2

        The following results were obtained through the clinical review of 77 cases of meningitis seen at ward of the pediatric department of Chungnam National University Hospital during the period of 3 years from Jan. 1979 to Dec., 1981. 1. The annual incidence was not decreased. 2. School period was the most frequent age group in aseptic, on the other hand, early infancy period in tuberculous and pyogenic meningitis. 3. Male was predominant both in aseptic and pyogenic meningitis. 4. The most common chief complaint was headache in aseptic and conscious deterioration in tuberculous and pyogenic meningitis. 5. Duration of present illness was less than 10 days in aseptic and pyogenic meningitis In some cases of tuberculous meningitis, it's over 10 days. 6. Duration of admission was within 20 days in aseptic and over 21 days in some of pyogenic and tuberculous meningitis. 7. Predromal symptoms were U. R. I. and mumps in aseptic, pulmonary tuberculosis in tuberculous, and pneumonia, sepsis, etc. in pyogenic meningitis. 8. On peripheral blood findings; 1) Hematocrit value below 30% and hemoglobin below 10gm % were more encountered in aseptic and tuberculous than in pyogenic meningitis. 2) Leukocytosis was often noted in pyogenic, increased E. S. R. in tuberculous and pyogenic meningitis. Leukocyte differential count was not characterized in any types of meningitis. 9. On C. S. F. findings; 1) Pleocytosis over 1001/㎣ was noted in half of pyogenic but few in tuberculous and aseptic meningitis. 2) Sugar level below 20mg % was not, encountered in aseptic but detected in each 44% of tuberculous and pyogenic meningitis respectively. 3) Protein level over 101mg % was not encountered in aseptic but detected in 25% of tuberculous and 31% of pyogenic meningitis. 4) Positive pandy reaction was rarely noted in aseptic but quite frequently in tuberculous and pyogenic meningitis. 5) No micro-organisms were isolated in aeptic, tuberculous and most pyogenic meningitis. 6) Cloudiness were mainly seen in pyogenic: meningitis. 10. All cases of aseptic meningitis were recovered without complication or sequelae while some of tuberculous and pyogenic meningitis either expired or discharged without improvement.

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