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成人细菌性脑膜炎的神经系统并发症

Author
Daniel J Sexton, MD
Section Editor
Stephen B Calderwood, MD
Deputy Editor
Anna R Thorner, MD
Translators
王翠兰, 主任医师，教授

引言

尽管有效的抗生素疗法可用于治疗细菌性脑膜炎，但该病仍继续导致显著的并发症发病率和死亡率。死亡或发生并发症的风险与以下因素相关：患者的年龄和一般健康状况、致病病原体、就诊时病情的严重程度和持续时间，偶尔也与抗生素治疗延误相关。 (参见“成人细菌性脑膜炎的初始治疗和预后”)

细菌性脑膜炎的并发症可分为全身性和神经系统性。全身性并发症通常是常伴随脑膜炎出现的菌血症的后果，如脓毒性休克、弥散性血管内凝血、急性呼吸窘迫综合征，以及化脓性或反应性关节炎[1]。

细菌性脑膜炎的神经系统并发症包括：

●精神状态受损

●颅内压增高和脑水肿

                

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Literature review current through: 2017-06 . | This topic last updated: 2017-07-13.
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