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脑脊液细胞学在神经系统疾病中的临床应用 被引量:7

Clinical application of cerebrospinal fluid cytology test in nervous system disease
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摘要 目的探讨脑脊液细胞学的检查,对神经科常见疾病的诊断、治疗及预后判断的价值。方法采用细胞玻片离心仪自动涂片,迈格吉染色,光学显微镜分类计数。结果 10例化脓性脑膜炎(化脑)急性期均以嗜中性粒细胞为主。31例结核性脑膜炎(结脑)急性期以混合性细胞为主。9例病毒性脑膜炎(病脑)以淋巴细胞为主。4例脑膜癌在脑脊液中找到了异形细胞。4例蛛网膜下腔出血在脑脊液中检查到红细胞。结论脑脊液细胞学检查对临床上常见的中枢神经系统疾病的诊断具有重要的意义。 Objective To study the value of cerebrospinal fluid(CSF)cytology test in diagnosis,treatment and prognosis of general neurological diseases. Methods Cytospin was used to centrifugalize and stain specimen automatically. The May Grunwald-Giemsa's stain was applied to routine cytology. Optical microscope was applied to classify and number cells in CSF. Results Nutrophil cells were the most common findings in the acute period in 10 patients' CSF of suppurative meningitis. Mixed cells are common findings in the acute period in 31 patients' CSF of tuberculous meningitis. Lymphoblasts were common findings in 9 patients' CSF of viral meningitis. Heterocyst were found in 4 patients' CSF of meningeal carcinomatosis. Conelusion CSF cytology test plays an important rote in the diagnosis of commonly seen central nerve system diseases.
出处 《中国实用神经疾病杂志》 2010年第24期6-8,共3页 Chinese Journal of Practical Nervous Diseases
关键词 脑脊液细胞学 化脓性脑膜炎 结核性脑膜炎 病毒性脑膜炎 Cerebrospinal fluid Cytology Suppurative meningitis Tuberculous meningitis Viral meningitis
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