資源描述:
《腦脊液漿膜腔積液檢查-2011.3.ppt》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。
1、CerebrospinalFluid(CSF)ExaminationOutlineCSF:colourlessliquidthatflowsthroughthefourcerebralventricles,subarachnoidspaceandspinalcanalsurroundingthebrainandspinalcord.CSFcirlulationcommunicatewithbloodcirculationAdult:90—150mlNewborn:10—60mlbloodbrainbarrierAIMS中樞神經(jīng)感染性疾病的診斷與
2、鑒別診斷。腦血管疾病的診斷與鑒別診斷。協(xié)助腦部腫瘤的診斷。中樞神經(jīng)系統(tǒng)疾病的治療與療效觀察。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