荧光素钠试验对小儿中枢神经系统常见感染性疾病鉴别诊断的意义

• 作 者: 卓安华 章小雷 吴柱国 徐金成 敖当 龙凤雅
• 机 构: 湛江医学院附属医院儿科,湛江医学院附属医院儿科,湛江医学院附属医院儿科,湛江医学院附属医院儿科,湛江医学院附属医院儿科,湛江医学院附属医院儿科 524001,524001,524001,524001,
• 出 处: 中国实用儿科杂志
• 发表日期: 1993年05期
• 关键词: 荧光素钠 化脓性脑膜炎 病毒性脑炎 疾病鉴别诊断 感染性疾病 中枢神经系统 疾病患儿 化脑 结脑 全部阳性

本文对191例中枢神经系铣不同疾病患儿的脑脊液进行荧光素钠试验(FST),观察列病毒性脑炎(含病毒性脑膜脑炎)及颅内非感染性疾病全部阴性,结核性脑膜炎全部阳性,化脓性脑膜炎部分阳性,且后者多为晚期病例,它们之间的阴性、阳性率有显著性差异,提示此法对病毒性脑炎(含脑膜脑炎)与结核性脑膜炎的鉴别诊断有重要价值,对结核性脑膜炎与化脓性脑膜炎的鉴别诊断亦有重要的参考价值。

In this paper, 191 cases of cerebrospinal fluid in children with different diseases of the central nervous system were subjected to a sodium fluorescein assay (FST) to observe all the negative cases of viral encephalitis (including viral meningoencephalitis) and intracranial non-infectious diseases, tuberculous meningitis Inflammation were all positive, purulent meningitis was partially positive, and the latter mostly late cases, the negative and positive rates between them were significantly different, suggesting that this method of viral encephalitis (including meningoencephalitis) and tuberculous meningitis The differential diagnosis of inflammation has important value, the differential diagnosis of tuberculous meningitis and purulent meningitis is also an important reference value.