脑脊液三项生化检测在中枢神经系统感染性疾病中的临床意义  

THREE ITEMS BIOCHEMISTRY EXAMINATION IN CEREBROSPINAL FLUID OF PATIENTS WITH CENTRAL NERVOUS SYSTEM INFECTION

作　　者：代碧珍[1] 曾瑜[1] 

机构地区：[1]泸州医学院附属医院检验科,四川省泸州市646000

出　　处：《中国煤炭工业医学杂志》2005年第1期23-24,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的　探讨脑脊液中葡萄糖 (GLU)、乳酸脱氢酶 (LDH)、乳酸 (LA)三项生化联合检测在病毒性脑膜炎、化脓性脑膜炎 (包括新隐球菌感染 )、结核性脑膜炎中的应用价值。方法　分别检测经临床确诊的病毒性脑膜炎、化脓性脑膜炎、结核性脑膜炎以及正常脑脊液中的GLU、LDH、LA含量 ,将所得结果进行统计学处理 ,并结合脑脊液的常规检测 (包括蛋白质测定和白细胞计数及分类 )进行分析。结果　病毒性脑膜炎、化脓性脑膜炎、结核性脑膜炎的脑脊液中GLU、LDH、LA的含量有明显差异。结论　脑脊液中GLU、LDH、LA三项生化联合检测对病毒性脑膜炎和细菌性脑膜炎的诊断和鉴别诊断有一定价值。Objective To discuss the clinical value of cerebrospinal fluid(CSF) glucose(GLU)、lactic dehydrogenase(LDH) and lactic acid(LA) in meningitis arosed by virus、suppurative bacterium and tubercle bacillus. Methods The contents of GLU、LDH and LA were examined in cerebrospinal fluid of patients with virus meningitis、purulent meningitis and tuberculous meningitis. At the same time, the routine examinations of CSF were also done. Results There were significant differences in cerebrospinal fluid(CSF) glucose(GLU)、lactic dehydrogenase(LDH) and lactic acid(LA) among virus、purulent and tuberculous meningitis. Conclusion There are diagnosis and differential diagnosis values between virus meningitis and bacterial meningitis by examinating GLU、LDH and LA in cerebrospinal fluid.

关 键 词：脑脊液 生化检测 脑膜炎 

分 类 号：R51[医药卫生—内科学]