结核性脑膜炎脑脊液多项指标的检测分析  

Manifold tests detected and analysed in cerebrospinal fluid of tuberculous menigitis

作　　者：高薇薇[1] 王淑霞[1] 张金福[1] 黄学锐[1] 马屿[1] 

机构地区：[1]北京市结核病胸部肿瘤研究所,101149

出　　处：《中国防痨杂志》1999年第3期162-164,共3页Chinese Journal of Antituberculosis

摘　　要：目的　分析早期结核性脑膜炎脑脊液（ Ｃ Ｓ Ｆ） 多项指标的检测对早期结脑的诊断价值。方法　选择确诊为结脑病例５２ 例，留取病人 Ｃ Ｓ Ｆ 分别进行常规、生化、 Ａ Ｄ Ａ、 Ｐ Ｃ Ｒ、 Ｂ Ａ Ｃ Ｔ Ｅ Ｃ、涂片及抗结核抗体多项指标的检测，并观察治疗后２ 个月 Ｃ Ｓ Ｆ 常规、生化的变化。结果　 Ｃ Ｓ Ｆ 除常规、生化外， Ｐ Ｃ Ｒ 和 Ａ Ｄ Ａ 的检测对结脑早期诊断有意义，其它指标因阳性率很低意义不大。结脑经２ 个月治疗，细胞数恢复最快，其次为糖。结论　 Ｃ Ｓ Ｆ 常规、生化、 Ｐ Ｃ Ｒ 和 Ａ Ｄ Ａ 的检测有助于结脑的早期诊断。Objective To analyse the diagnostic value of the cerebrospinal fluid manifold tests in detected ofearly stage tuberculous menigitis of patients . Method Choice had diagnosed of 52 cases with early stage tuberculousmenigitis of patients . C S Fhad sent examinations separately for routine ,bioche mistry , A D A, P C R, B A C T E C,smearand resistance tuberculous antibody . C S Froutine and biochemistry of change were observed after treatment for twomonths . Results P C R and A D A of detection is significance for diagnosis of initial tuberculous menigitis ,besides C S Froutine and bioche mistry . The other tests are without obvious significance for initial diagnosis ,because theirpositive rate is very low . The cell count had recovered at first ,sugar is secondary after treatment for two months . Conclusion The routine ,biochemistry , P C Rand A D Ain C S F of detection is valuable for diagnosis of early stagetuberculous m enigitis .

关 键 词：实验室检测 结核性脑膜炎 诊断 

分 类 号：R529.304[医药卫生—内科学]