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目的:评价常规脑脊液细胞学检查对病毒性脑炎诊断的应用价值。方法:研究取病毒性脑炎患者50例,患者均于2015年1月份到2016年8月份入院诊治。50例患者均实施常规脑脊液细胞学检查,观察和分析50例患者的诊断结果。结果:50例患者检查结果显示有46例患者常规细胞学检查结果为阳性,阳性率为92%,脑脊液细胞学检查显示患者淋巴细胞比例增加、白细胞数量增加;生化检查显示有41例患者白细胞增加,有40例患者免疫球蛋白增加,有43例患者脑电图异常且表现为弥漫性异常。结论:采用脑脊液细胞学检查对病毒性脑炎进行诊断,精确性好,且操作简单,具有较高的临床应用价值。
Objective: To evaluate the value of routine cerebrospinal fluid cytology in the diagnosis of viral encephalitis. Methods: Fifty patients with viral encephalitis were studied. All patients were admitted to hospital from January 2015 to August 2016. All 50 patients underwent routine cerebrospinal fluid cytology. The diagnostic results of 50 patients were observed and analyzed. Results: The results of 50 patients showed that 46 patients had positive cytology results, the positive rate was 92%. The cytological examination showed that the proportion of lymphocytes increased and the number of white blood cells increased. The biochemical examination showed that leukocytosis increased in 41 patients , 40 patients with increased immunoglobulin, 43 patients with abnormal EEG and showed diffuse abnormalities. Conclusion: The diagnosis of viral encephalitis by CSF cytology has good accuracy, simple operation and high clinical value.