Clinical features and risk factors of subdural effusion in children with bacterial meningitis
Objective To analyze the clinical features of subdural effusion(SE)and its risk factors in children with bacterial meningitis(BM).Methods The clinical data of 102 children with BM admitted in Department of Pediatric Neurology of Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital from January 2017 to January 2019 were retrospectively analyzed.There were 63 males and 39 females with a median age of 5 months(1 month to 11 years).According to whether there was SE combined in the cranial MRI examination,the children were divided into the BM with SE group and the non-SE group.The general data,hematology and cerebrospinal fluid(CSF)examination results were compared between the BM with SE group and the non-SE group,and the risk factors of SE were analyzed by multivariate logistic regression.Results There were significant differences in age,convulsion,CRP level,protein and glucose contents in CSF between the two groups(all P＜0.05).Multivariate logistic regression analysis showed convulsion(OR=19.314,95％CI:1.858-200.747,P=0.013)and CSF glucose level(OR=0.186,95％CI:0.035-0.984,P=0.048)were independent risk factors for SE in children with BM.Conclusion Convulsion seizure and low level of CSF glucose are associated with SE in children with BM.Early identification of SE is helpful to correctly judge the disease,guide rational drug use and adjust the treatment plan.
万方数据
维普
