UrineA urinalysis is recommended fo

Urine
A urinalysis is recommended for patients with no obvious focus of infection.
Lumbar Puncture (LP)
An LP is not recommended in children considered to be haemodynamically unstable.
Strongly consider LP if the child is less than 12 months and consider LP if the child is less than 18 months.
LP is recommended if:
• Child has received antibiotics prior to the seizure as partially treated meningitis could be present in
children who were on antibiotics prior to the seizure, and in these cases consider an LP regardless of age.
Even if an LP is performed and the results are negative, one may consider treatment of meningitis, as
cerebrospinal fluid (CSF) may be normal in the early stages of meningitis.6
• Meningeal signs are present:
Meningeal irritation is defined as presence of Brudzinski sign (flexion of the neck causes flexion of the
patient’s hips and knees), Kernig sign (pain elicited with 90 degree hip flexion and knee extension), or
neck stiffness in children older than 1 year of age. In children 1 year or younger, signs of meningeal
irritation are the signs mentioned herein or irritability during manipulation of head or legs by the physician
and/or a bulging fontanel.8 It should be stressed that clinical signs of meningitis are insensitive and if
the clinician is suspicious that meningitis is present the LP should not be delayed while awaiting for
these signs to

結果 (中文) 1:

尿尿液分析建议患者没有明显的重点的感染。腰椎穿刺 (LP)LP 不建议在孩子们认为是血流动力学不稳定。强烈考虑 LP，如果孩子是少于 12 个月，并考虑 LP，如果孩子小于 18 个月。如果 LP 被建议:• 孩子收到扣押服用抗生素，部分治疗的脑膜炎中可能存在孩子们对抗生素之前扣押，并在这些情况下考虑 LP 不分年龄。即使 LP 执行和结果都是负面，一个我可以当做治疗脑膜炎，脑脊液 (CSF) 可能是正常的在 meningitis.6 的早期阶段目前脑膜 • 的迹象:脑膜刺激症定义为存在的病症标志 (颈部屈曲位引起的屈曲病人的臀部和膝盖)，Kernig 标志 (疼痛引起的 90 度的屈伸膝关节伸髋)，或1 岁以上儿童的颈部僵硬。在 1 岁或更年轻，标志的脑膜愤怒是此处提到的迹象或易怒的头或腿由医师操作期间和 (或) 应强调性脑膜炎的临床症状是不敏感的胀形 fontanel.8，如果临床医师是可疑脑膜炎是目前 LP 不应再拖延而等待这些迹象

結果 (中文) 3:

尿
尿检建议患者无明显病灶。
腰穿（LP）
LP不是孩子认为是血流动力学不稳定的建议。
强烈考虑LP如果孩子小于12个月，如果孩子不到18个月的考虑
LP推荐如果LP。：
儿童在癫痫发作前已接受抗生素治疗，而在这些情况下，在这些情况下，无论年龄是LP，即使有脂LP是阴性的，也可考虑治疗脑膜炎，脑脊液（脑脊液）可能是正常的脑膜炎早期阶段。•脑膜的迹象是：
脑膜刺激症定义为布鲁金斯基征（颈屈原因存在的
病人的髋关节和膝关节屈曲），克氏征（疼痛引起的90度屈髋伸膝），或
比1岁儿童大脖子僵硬。在孩子1岁或更年轻，脑膜
迹象刺激迹象有提及或易怒的头或脚操作期间由医生
和/或前囟饱满。8应该强调的是，脑膜炎的临床症状是不敏感的，如果
临床医生怀疑脑膜炎是LP不应拖延而等待
这些标志