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目的 :探讨脑脊液生化改变对于结核性脑膜炎 (结脑 )的诊断、病情和预后评估的价值。方法 :回顾性分析 86例结脑患者的脑脊液生化改变与其临床特点的关系。结果 :结脑患者的脑脊液糖降低率为 73 3 % ,氯化物降低率为 72 1% ,蛋白质升高率为89 5 % ;脑脊液生化异常项目越多 ,其临床症状越严重 ,但与预后无明显相关性。结论 :脑脊液生化改变对于结脑的诊断、病情评估仍有一定价值。
Objective: To investigate the value of cerebrospinal fluid biochemical changes in the diagnosis, prognosis and prognosis of tuberculous meningitis (tuberculous meningitis). Methods: A retrospective analysis of 86 cases of tuberculous meningitis in patients with cerebrospinal fluid biochemical changes and its clinical features. Results: The cerebrospinal fluid glucose reduction rate was 73.3%, the chloride reduction rate was 72.1% and the protein increase rate was 89.5%. The more clinical items of cerebrospinal fluid biochemical abnormalities were, the more serious the clinical symptoms were, but no correlation with prognosis Clearly relevant. Conclusion: The biochemical changes of cerebrospinal fluid are still valuable for the diagnosis and assessment of tuberculosis.