结核性脑膜炎脑脊液多项指标的检测分析

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?

Manifold tests detected and analysed in cerebrospinal fluid of tuberculous menigitis

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 .