陈玉霞;

• 1:商丘市第三人民医院

摘要(Abstract)：

目的分析小儿结核性脑膜炎、病毒性脑膜炎的诊断中进行细胞学检测的价值。方法选择2013-04—2019-04商丘市第三人民医院收治的结核性脑膜炎患儿20例(结核组),病毒性脑膜炎患儿30例(病毒组)为对象,均进行细胞学检测,比较2组细胞类型、血清白蛋白、脑脊液白蛋白、脑脊液白蛋白指数、血脑屏障损伤程度。结果结核组C_(ALB)与病毒组比较差异无统计学意义(P>0.05),结核组S_(ALB)、C_(ALB)指数明显高于病毒组(P<0.05);结核组小淋巴细胞、淋巴样细胞、转化淋巴细胞均低于病毒组(P<0.05),激活单核细胞、嗜中性粒细胞均高于病毒组脑膜炎患儿(P<0.05),结核组与病毒组浆细胞、单核细胞比重差异无统计学意义(P>0.05);结核组血脑屏障轻度损伤比重为16.67%,明显低于病毒组比重(46.67%),差异有统计学意义(P<0.05),结核组中度损伤与重度损伤比重分别为40.00%、43.33%,均多于病毒组(30.00%、23.33%),但差异无统计学意义(P>0.05)。结论细胞学检测能够帮助鉴别小儿结核性脑膜炎、病毒性脑膜炎,为临床诊疗进行提供科学指导。

关键词(KeyWords)： 小儿结核性脑膜炎;病毒性脑膜炎;细胞学检测

Abstract:

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基金项目(Foundation):

作者(Authors): 陈玉霞;

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