Septic meningitis is an acute infectious guilt disease of the central nervous system caused by septic bacteria, and is one of the serious infectious diseases in children. The first few days of illness are often characterized by upper respiratory tract inflammation or gastrointestinal symptoms, followed by high fever, headache, depression, and irritability, restlessness, and double vision in small infants. Neurological manifestations include: meningeal irritation signs, intracranial hypertension, convulsions, and limb paralysis in some children. Treatment 1.Antibiotic treatment: The principle is to use intravenous antibiotics as early as possible, and choose antibiotics that can penetrate the blood-brain barrier. 2, symptomatic and supportive therapy: close observation of vital characteristics, consciousness, pupils and blood electrolyte concentration in the first few days of the disease, pay attention to maintaining water-electrolyte balance. Care 1, diet: give nutritious, light, easily digestible liquid or semi-liquid diet (such as milk, thin rice, steamed eggs, etc.) in small amounts and many meals; for those who cannot eat in coma or frequent vomiting, intravenous high nutrition should be given. 2.Position and activity: Absolute bed rest, 4~6 hours of lying down after lumbar puncture with the pillow removed, and bed activities during the recovery period, and then gradually get out of bed. 3, review time and features: adhere to the medication for not less than 2~3 weeks, in the course of treatment for children without complications do not need repeated cerebrospinal fluid examination, only in the disappearance of clinical symptoms, close to the completion of the course of treatment need to check once, if the normal use of drugs to the prescribed course of treatment that is to stop, after treatment, no clinical improvement or improvement and then deterioration, should be timely review of cerebrospinal fluid or CT examination. Precautions 1, keep the room quiet and comfortable, fresh air, avoid adverse stimulation. 2.Keep the airway unobstructed and keep the head to the side for vomiting to prevent asphyxiation caused by vomit aspiration into the airway. 3.Keep the skin and bed unit clean and dry, turn over regularly: massage the pressurized parts to prevent bedsores. 4, when convulsions, the tongue depressor wrapped gauze placed between the upper and lower molars (do not forcibly pry open the teeth closed) to prevent tongue bite. Daily oral care for comatose children. 5. When the body temperature exceeds 38,5℃, give physical cooling or medication to reduce the consumption of oxygen in the brain and prevent febrile convulsions, encourage the child to drink more water and change clothes in time after sweating. 6. Children in the recovery period should undergo functional training to reduce the occurrence of sequelae.