结核性脑膜炎167例脑脊液分析_胡佳.pdfVIP

·580 · 　 2010 5 1 35 5 M d J Chin PLA, Vol.35, No.5, May 1, 2010　 结核性脑膜炎167 例脑脊液分析 胡佳,张家堂,郎森阳,蒲传强 [] 　　(CSF), 、。　 1994 1 -2009 6 167 , CSF 、, CSF , CSF 。　167 13 CSF , CSF , : 6 (300mmH O);CSF , 2700×10 /L, ; 2 , 、;(、、、、PPD 。7 (3.7%)。　CSF , CSF 。 　　[]　, ; 　　[]　R529.3　　　　　[]　A 　　　　　[]　0577-7402(2010)05-0580-04 Analysis of cerebrospinal fluid from 167 cases of tuberculous meningitis ＊ HU Jia, ZHANG Jia-tang , LANG S n-yang, PU Chuan-qiang.D partm nt of N urology, G n ral Hospital of PLA, B ijing 100853, China ＊Corr sponding author, E-mail:Edwin-zhang @263.n t [Abstract] 　Objective　To analyz th charact ristics of th c r brospinal fluid (CSF)of pati nts with tub rculous m ningitis, in ord r to provid an approach for arli r and corr ct diagnosis.Methods　Th clinical data of 167 pati nts with tub rculous m ningitis hospitaliz d in G n ral Hospital of PLA from Jan.1994 to Jun.2009 w r coll ct d.Th clinical f atur s of pati nts and r sults of laboratory t sts of CSF (routin t sts, bioch mical t sts, tc.)w r analyz d, and th n th charact ristics of chang s in CSF w r valuat d.Results　Out of 167 pati nts, CSF of 13 cas s bor th typical clinical f atur s of tub rculous m ningitis, whil that of th oth rs w r atypical:.g.dramatical l vation of intracranial pr ssur (300mmH O), non-purul nt CSF with pl ocytosis up to 2700× 2 6 10 /L, incr as d polykaryocyt s in th arly stag , normal or obviously high total prot in l v l, normal glucos and chlorid l v l, and n gativ laboratory xaminations (such as cultur -and sm ar- xamination of My cobacter ium tuberculosis, ad nosin d aminas , anti-T B antibody, immuno-dot-blot assay MycoDot and PPD assay).In this s ri s of 167 pati nts, 7 of th m di d (3.7%).Conclu