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CEREBROSPINALFLUID EXAMINATION
Institute of Diagnostics
Zhong NingEai!" ning#hong$s%u&e%u&cn
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2005-5-17 Medicine School of Shandong University '
CONTENT
( P)eface
( S*ecien Co!!ection
( O*ening P)essu)e( Tota! ce!! count
( Diffe)entia! ce!! count
( +!ucose( P)otein
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P)eface
( Ce)e-)os*ina! f!ui% .CSF/ isost!0 %e)i1e% th)ough thecho)oi%
*!e2uses&
( 344L5%a0 a**)o2iate!0
( CSF *)otects the -)ain an%s*ina! co)%6 an% co!!ects 7aste6
ci)cu!ates nut)ients6 cushionsan% !u-)icates the cent)a!ne)1ous
s0ste .CNS/&
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2005-5-17 Medicine School of Shandong University 8
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2005-5-17 Medicine School of Shandong University 3
The -!oo%9-)ain -a))ie)
( BBB is a conce*t %e)i1e% f)o
%0e9e2c!usion stu%ies )athe)
than a s*ecific anatoic
st)uctu)e&
( Ce)tain su-stances in the CSF
a)e tight!0 )egu!ate% -0 s*ecific
t)ans*o)t s0stes&
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2005-5-17 Medicine School of Shandong University :
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7/26/2019 CSF.ppt
7/212005-5-17 Medicine School of Shandong University ;
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8/212005-5-17 Medicine School of Shandong University
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10/212005-5-17 Medicine School of Shandong University ?4
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2005-5-17 Medicine School of Shandong University ??
O*ening P)essu)e
( No)a! o*ening *)essu)e in
a%u!ts is >4@?
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2005-5-17 Medicine School of Shandong University ?'
E!e1ate% *)essu)e
( Congesti1e hea)t fai!u)e
( Meningitis
( Su*e)io) 1ena ca1a s0n%)oe( Ce)e-)a! e%ea
( Mass !esion
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2005-5-17 Medicine School of Shandong University ?,
Dec)ease% *)essu)e
( S*ina!9su-a)achnoi% -!oc=
( Deh0%)ation
( Ci)cu!ato)0 co!!a*se( CSF !ea=age
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Tota! ce!! count & DC
( The no)a! !eu=oc0te ce!! count
in a%u!ts is 4@3 ce!!s5u!&
( Inc)ease% neut)o*hi!s"Bacte)ia! Meningitis
ce)e-)a! a-scess
su-%u)a! e*0ea
CNS heo))hage CNS infa)ct
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2005-5-17 Medicine School of Shandong University ?3
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2005-5-17 Medicine School of Shandong University ?:
( Inc)ease L0*hoc0tes"
i)a! eningitis
Mu!ti*!e sc!e)osis
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+!ucose
( The no)a! +!ucose is a-out :4co*a)e% to se)u !e1e!&
( No)a! 34@
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E!e1ate% CSF *)otein
Reason
( Inc)ease% *e)ea-i!it0 of the
-!oo%9-)ain -a))ie)&
( Dec)ease% )eso)*tion
( Mechanica! o-st)uction of CSF
f!o7
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2005-5-17 Medicine School of Shandong University '4
E!e1ate% CSF *)otein
( A)achnoi%itis
( Meningitis
( eo))hage( En%oc)ine5Meta-o!ic %iso)%e)s
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2005-5-17 Medicine School of Shandong University '?
