72例脑膜炎患者脑脊液三项生化检测结果分析

Analysis of detection results of 3 biochemical indexes in cerebrospinal fluid from 72 cases of meningitis

目的:通过回顾性分析72例脑膜炎患者脑脊液三项生化检测结果,探讨其在鉴别诊断病毒性脑膜炎、化脓性脑膜炎和结核性脑膜炎中的应用价值。方法:分别选取最终经临床确诊的病毒性脑膜炎、化脓性脑膜炎、结核性脑膜炎患者住院3天内的初次脑脊液葡萄糖、乳酸脱氢酶、乳酸检验结果进行统计学处理,并结合脑脊液常规检测(包括白细胞计数和分类)结果进行比较分析。结果:病毒性脑膜炎、化脓性脑膜炎和结核性脑膜炎的脑脊液中三项生化结果有明显差异。结论:脑脊液三项生化联合检测对病毒性脑膜炎脑、化脓性脑膜炎、结核性脑膜炎间的鉴别诊断有一定的意义。

Objective：Retrospective analysis of 72 cases of meningitis in cerebrospinal fluid of three patients with biochemical test results,to explore the differential diagnosis of viral meningitis,purulent meningitis and tuberculous meningitis in the application.Methods：Selected the final clinically diagnosed viral meningitis,purulent meningitis,tuberculous meningitis patients hospitalized within 3 days of the initial CSF glucose,lactate dehydrogenase,lactic acid test results for statistical analysis,combined with regular testing of cerebrospinal fluid（including white blood cell count and classification） the results of comparative analysis.Results：Of viral meningitis,purulent meningitis and tuberculous meningitis in cerebrospinal fluid in three significant differences in biochemical results.Conclusion：CSF combined three biochemical detection of viral meningitis,purulent meningitis,tuberculous meningitis,the differential diagnosis between a certain significance.