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脑脊液(CSF)酸碱气体分析是一项新的检查方法。近年来对CSF pH值的变化已有报告,对其气体改变则报告较少。我院近1年来测定了50例神经系统疾病的CSF和动脉血的酸碱气体分析,并与对照组进行对比,结果发现PO_2和PCO_2的改变对临床诊断、病情观察及预后判断均有一定的参考意义。现报告如下。临床资料 1.观察组50例,男34例,女16例,年龄为13～76岁,平均40.4岁。按疾病分三组。 (1)脑血管病组:21例,男12例,女9例,平均年龄53.2岁。其中缺血性脑血管病13例,脑出血5例及蛛网膜下腔出血(SAH)3例。 (2)颅内感染组:15例,男11例,女4例,平均年龄31.1岁。其中散发性脑炎11例,化脓性脑膜炎1例,脑型蛛网膜炎2例及脑囊虫病1例。 (3)椎管病变组:14例,男11例,女3例,平均年龄32.1岁。其中脊神经根炎5例,格林-巴利综合征4例,急性脊髓炎、腰椎间盘突出、胸椎肿瘤、家族性痉挛性截瘫及脊髓型蛛网膜炎各1例。
Cerebrospinal fluid (CSF) acid-base gas analysis is a new test method. Changes in CSF pH have been reported in recent years, with fewer reports of gas changes. Our hospital in the past year measured 50 cases of neurological disease CSF and arterial blood acid-base gas analysis and compared with the control group found PO 2 and PCO 2 changes in clinical diagnosis, disease observation and prognosis have a certain D. The report is as follows. Clinical data 1. Observation group of 50 patients, 34 males and 16 females, aged from 13 to 76 years, with an average of 40.4 years. Divided by three groups of diseases. (1) Cerebrovascular disease group: 21 cases, 12 males and 9 females, with an average age of 53.2 years. Including ischemic cerebrovascular disease in 13 cases, 5 cases of cerebral hemorrhage and subarachnoid hemorrhage (SAH) in 3 cases. (2) intracranial infection group: 15 cases, 11 males and 4 females, mean age 31.1 years old. Including encephalitis in 11 cases, purulent meningitis in 1 case, cerebral arachnoiditis in 2 cases and cerebral cysticercosis in 1 case. (3) The spinal canal group: 14 cases, 11 males and 3 females, with an average age of 32.1 years. One case of spinal nerve root inflammation in 5 cases, Guillain-Barre syndrome in 4 cases, acute myelitis, lumbar disc herniation, thoracic tumors, familial spastic paraplegia and spinal cord arachnoiditis in 1 case.