脑脊液细胞学在蛛网膜下腔出血中的应用价值

目的：应用细胞玻片离心仪和50例蛛网膜下腔出血（SAH）患者进行了不同时期脑脊液细胞学检查。方法：常规抽取脑脊液,经FMU-5细胞玻片离心仪直接离心制片,进行MGG染色,进行细胞分类。结果：蛛网膜下腔出血后脑脊液中白细胞在不同时期的细胞特征是：急性期：大量红细胞及高比例的嗜中性粒细胞期,嗜中性粒细胞比率在70%以上,48～72 h达高峰,一周后逐渐消失。吸收期：激活单核细胞增多,可出现红细胞吞噬细胞及特征性细胞-含铁血黄素吞噬细胞,持续2～3周。恢复期：主要以激活单核细胞为主,持续数周或几月。结论：应用该法进行脑脊液细胞学检查,可给临床提供一个直观、准确的诊断依据。对蛛网膜下腔出血病人的病理学监测、鉴别诊断和治疗具有重要价值。

The Cerebrospinal Fluid Cytology in Subarachnoid Hemorrhage in the Application

Objective：Application cells slide instrument and 50 cases of subarachnoid hemorrhage（SAH） in patients with different periods of cerebrospinal fluid cytology.Methods：Conventional extraction of cerebrospinal fluid,by FMU-5 cell slide centrifuge instrument direct centrifugal producer,MGG staining,cell classification.Results：In cerebrospinal fluid after subarachnoid hemorrhage leukocyte in different periods of the cell is characterized by： the acute stage： a large number of red blood cells and a high percentage of neutrophils,neutrophil ratio is above 70%,and reached the peak at 48～72 h,a week later gradually disappear.Absorption period： activation of mononucleosis,can appear erythrocyte phagocytic cells and characteristics of cell-hemosiderin phagocytic cells,continued for 2～3 weeks.Recovery period： mainly to the activation of monocytes,lasting several weeks or several months.Conclusions：The application of the method of cytological examination of cerebrospinal fluid,for clinical provides an intuitive,accurate diagnosis based on.On subarachnoid hemorrhage patient pathology,differential diagnosis and therapeutic monitoring is of important value.