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目的探讨病毒性脑炎患儿脑脊液细胞学变化特点及临床价值。方法选取病毒性脑炎患儿117例分别进行脑脊液常规和细胞学分析。标本经自然沉淀法或玻片离心法制片,常规采用迈格姬染色。必要时行脑脊液细胞学动态观察。结果病毒性脑炎患儿脑脊液常规细胞计数和脑脊液细胞学检查异常检出率分别为44.5%和89.7%。结论病毒性脑炎患儿脑脊液细胞学检查具有更敏感、直观、稳定的特点,对病毒性脑炎的诊断有重要的参考价值。且对评价治疗效果具有一定的作用,作为一种辅助检查值得在临床上推广。
Objective To investigate the changes of cerebrospinal fluid cytology in children with viral encephalitis and its clinical value. Methods 117 cases of children with viral encephalitis were routine cerebrospinal fluid and cytological analysis. Specimens were naturally pelleted or slides prepared by centrifugation, and Meggie staining was performed routinely. If necessary, cerebrospinal fluid cytology dynamic observation. Results The detection rates of cerebrospinal fluid routine cytology and cerebrospinal fluid cytology in children with viral encephalitis were 44.5% and 89.7%, respectively. Conclusions Cytological examination of cerebrospinal fluid in children with viral encephalitis is more sensitive, intuitive and stable and has important reference value for the diagnosis of viral encephalitis. And to evaluate the effect of treatment has a certain role, as an auxiliary examination worth the clinical promotion.