CEREBROSPINAL-FLUID IN CEREBRAL-HEMORRHAGE AND INFARCTION
CEREBROSPINAL-FLUID IN CEREBRAL-HEMORRHAGE AND INFARCTION
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DOI：
10.1161/01.str.6.6.638
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发表时间：
1975-01-01
期刊：
影响因子：
8.3
通讯作者：
KLASSEN, AC
中科院分区：
文献类型：
--
作者：
LEE, MC;HEANEY, LM;KLASSEN, AC
61 名尸检证实为脑出血或脑梗塞的患者的脑脊液异常与病理诊断相关。症状出现后 1 周内进行腰椎穿刺。脑脊液颜色和红细胞计数是区分脑出血和脑梗塞最有用的脑脊液参数。 75% 的脑出血患者的脑脊液要么严重血性，要么呈黄色。 25% 的脑脊液是清澈的。脑梗死患者的脑脊液从来不会出现严重的血迹。 2 名出血性梗塞患者的脑脊液呈黄色。脑脊液压力、蛋白质值和白细胞计数在区分脑出血和脑梗塞方面作用不大。根据脑脊液分析，无法将出血性梗塞病例与缺血性梗塞病例区分开。在透明脑脊液中，多形核中性粒细胞 (PNL) 计数从未超过 20/mm3。在黄变或浑浊的脑脊液中，白细胞计数，尤其是 PNL，经常升高，有时达到高水平。
CSF abnormalities were correlated with pathological diagnoses in 61 patients with autopsy-verified intracerebral hemorrhage or cerebral infarction. Lumbar punctures were performed within 1 wk of onset of symptoms. The CSF color and red blood cell counts were the most useful CSF parameters in differentiating between intracerebral hemorrhage and cerebral infarction. In 75% of the patients with intracerebral hemorrhage, the CSF was either grossly bloody or xanthochromic; in 25% the CSF was clear. In patients with cerebral infarction the CSF was never grossly bloody; in 2 patients with hemorrhagic infarction the CSF was xanthochromic. The CSF pressure, protein values and leukocyte counts were less useful in differentiating intracerebral hemorrhage from cerebral infarction. Cases with hemorrhagic infarction could not be separated from those with ischemic infarction on the basis of CSF analysis. In clear CSF the polymorphonuclear neutrophilic leukocyte (PNL) counts were never greater than 20/mm3. In xanthochromic or cloudy CSF, leukocyte counts, especially PNL, were frequently elevated, occasionally to high levels.