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1、10脑脊液检查ClinicalLaboratoryManualThetenthchapteriscerebrospinalfluidexaminationIndex:Section1:physicalexamination,sectionsecond:chemicalexamination,third:microscopy,sectionfourth:otherexaminationsSection1:physicalexaminationColormeaningofcerebrospinalfluidNormalcer
2、ebrospinalfluidiscolorless・Reduniformforsubarachnoidhemorrhage:yellowforhemorrhage,orbraintumors,cerebralembolism,severejaundice,carotenemia;whiteiscommoninmeningococcalmeningitiscausedbyStreptococcus,Bacillusingreen;Pseudomonasaeruginosainfection;blackorbrowninm
3、elanomaofcentralnervoussystem.Two.SignificanceofcerebrospinalfluidtransparencyThenormalCSFisclearandtransparent・Thepunctureinjurywasredmeningealmicromixing;cerebrospinalfluidsuchasthereexistcellsorbacteriacanbemoreturbid,suchaspurulentmeningitiswhencellnumbercanb
4、eincreased,themilkywhitehaze:tuberculousmeningitiscellsshowedamoderateincreaseoffrostedglassmicromixing;viralencephalitis,syphilisencephalitisistransparent・Three,thesignificaneeofcerebrospinalfluidcoagulationNormalcerebrospinalfluiddoesnotproducecoagulation.1.mas
5、sivecoagulation:seeninpurulentmeningitis・2.coagulation:cerebrospinalfluidconcentrationcausedbyspinalcordtumororsubarachnoidspaceobstruction.3.filmcoagulation:morecommonintuberculousmeningitis・Four、significanceofcerebrospinalfluiddensityIncreasedinflanimation.Five
6、、significaneeofcerebrospinalfluidpHInflammationoftendecreases・Secondsection:chemicalexaminationI.significanceofPantestofcerebrospinalfluidPositiveinallkindsofmeningitis,encephalitis,cerebralhemorrhage,subarachnoidspaceobstructionandbleeding,multipleneuritis,defor
7、mationofspinaldiseases・Two、significanceofglucosedeterminationincerebrospinalfluid1.,increasedin:diabetes,Japaneseencephalitis,viralmeningitis,polio,stroke,braintumors・2.reducein:purulentmeningitis,tuberculousmeningitis,fungalmeningitis,subarachnoidhemorrhage,prim
8、aryormetastaticmeningealtumorandsoon.Three・Significanceofchloridedeterminationincerebrospinalfluid1.,tuberculosismeningitis,purulentmeningitis,fungalmeningitis