本文报道流行性脑脊髓膜炎186例的临床分析,着重对不典型病例的诊断和误诊原因、暴发型流脑的治疗进行分析和探讨。提出全面分析病史、及早做腰穿,若初次脑脊液改变不典型应及时复查脑脊液在流脑的诊断上较为重要;抢救暴脑是降低流脑病死率的关键。 This article reports the clinical analysis of 186 cases of epidemic cerebrospinal meningitis, focusing on the diagnosis and misdiagnosis of atypical cases, and the analysis and discussion of the treatment of fulminant meningitis. Proposed a comprehensive analysis of medical history, as early as lumbar puncture, if the initial change of cerebrospinal fluid is not typical should be promptly reviewed Cerebrospinal fluid in the diagnosis of meningitis is more important; rescue brain violence is the key to reduce meningioid mortality.