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目的 :评价患者脑脊液 (CSF)单纯疱疹 I型病毒 (HSV- I) DNA和巨细胞病毒 (HCMV) DNA聚合酶链反应(PCR)检测以对单纯疱疹病毒性脑炎 (HSE)和巨细胞病毒性脑炎 (HCME)早期诊断的临床价值。方法 :对 45例病毒性脑炎病人的 CSF进行 HSV- I DNA、HCMV DNA检测 ,并对其检测结果结合临床表现、实验室和影像学检查 ,以及抗病毒药物应用与疗效进行综合分析 ,评价其临床价值。结果 :45例病毒性脑炎患者中 HSV- I DNA阳性 16例 ,占 35 .6 % ;HCMV DNA阳性 9例 ,占 2 0 % ;阴性者 2 0例 ,占 44 .4%。结论 :病毒性脑炎病人的 CSF HSV- I DNA、 HCMVDNA PCR检测是从病毒性脑炎中早期鉴别 HSE和 HCME的有价值的手段之一 ,但其检测结果需密切结合临床资料进行分析评价。
PURPOSE: To evaluate the detection of herpes simplex virus type 1 (HSV-I) DNA and cytomegalovirus (HCMV) DNA polymerase chain reaction (PCR) in patients with herpes simplex virus encephalitis (HSE) and cytomegalovirus Clinical Value of Early Diagnosis of Sexual Encephalitis (HCME). Methods: HSV-I DNA and HCMV DNA were detected in CSF of 45 patients with viral encephalitis. The results were combined with clinical manifestations, laboratory and imaging studies, and the application and efficacy of antiviral drugs in the evaluation. Its clinical value. Results: Among the 45 patients with viral encephalitis, HSV-I DNA was positive in 16 cases (35.6%), HCMV DNA was positive in 9 cases (20%), and negative ones were 20 (44.4%). CONCLUSIONS: CSF HSV-I DNA and HCMVDNA PCR in patients with viral encephalitis are valuable tools for the early identification of HSE and HCME from viral encephalitis. However, their results need to be closely analyzed in combination with clinical data.