脑脊液浆膜腔积液检查-2011.3.ppt

《脑脊液浆膜腔积液检查-2011.3.ppt》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、CerebrospinalFluid(CSF)ExaminationOutlineCSF:colourlessliquidthatflowsthroughthefourcerebralventricles,subarachnoidspaceandspinalcanalsurroundingthebrainandspinalcord.CSFcirlulationcommunicatewithbloodcirculationAdult:90—150mlNewborn:10—60mlbloodbrainbarrierAIMS中枢神经感染性疾病的诊断与

2、鉴别诊断。脑血管疾病的诊断与鉴别诊断。协助脑部肿瘤的诊断。中枢神经系统疾病的治疗与疗效观察。ContentsofexaminationGeneralProperties：pressure、color、Transparency、ClotsandfilmChemicalExamination：protein、glucose、chlorideMicroscopyBacteriologicalExaminationPressureGeneralPropertiesAdult(lying):80—180mmH2O，40-50drips/minchildr

3、en：40-100mmH2O。Increase：IntracranialInflammation：meningitis,cephalitis,myelitiscerebraledema,cerebralhemorrhage,braintumorsExtracranial：hypertension,congestiveheartfailureDecrease:CSFcirculationobstruction,lossorimpairmentinsecretionColorchangesColorofCSFConditionsorcausesCl

4、ear,colorlessnormalMilkyWithWBCincreasePinktoyellowWithbloodYellowHyperbilirubinemiaProtein≥1.5g/LGreenPurulentCSFBrowntoBlackMeningealmelanomaTransparencyNormal:Clear,colorlessClearorCloudy：ViralMeningitis、EpidemicEncephalitisBorSyphilisinCNSGroundglassopacity：TuberculousMe

5、ningitisMilkyturbid：PurulentMeningitisClotsandfilmNormal:Noclotsorfilmin24hoursPurulentMeningitis:clotsobservedin1-2hoursTuberculousMeningitis:thinfilmcoverafter12—24hoursSubarachnoidobstruction:yellowjellyProteinQualitative：Pandytest：-/±Quantitative：0.15～0.45g/L(adult,lumba

6、rpuncture)++++++++++ChemicalexaminationClinicalsignificanceinflammation：PM:↑↑↑TM:↑↑VM:↑Hemorrhageincranialorsubarachnoidintracranialmasslesions：tumor,hematomamultiplesclerosis,neurosyphilisGlucoseinCSFNormalvalue:Adult:2.5—4.5mmol/LChild:3.1—4.5mmol/LGCSF/GP：0.3—0.9Clinicals

7、ignificanceInflammation：PM:↓↓↓TM:↓VM：normalIntracranialtumor,neurosyphilisHypoglycemiaChlorideinCSFAdult：120—130mmol/LTM：↓↓↓，<102mmol/LPM：102—116mmol/L。Hypochloremia，suchasseverevomit、diarrhea,dehydrationNormalValueRBC：noneWBC:adult：0—8×106/Lchild：0—15×106/LMicroscopicExamin

8、ationClinicalSignificanceInfectiousDiseasesinCNSPURULENTMENINGITIS1000-2000