Welch Henry, Hasbun Rodrigo
Department of Medicine, University of Texas Medical School, Houston, 77030, USA.
Handb Clin Neurol. 2010;96:31-49. doi: 10.1016/S0072-9752(09)96003-1. Epub 2010 Jan 19.
Examination of the CSF is the gold standard for the diagnosis of meningitis. There are a number of laboratory tests. in addition to CSF cell count, glucose concentration, Gram's stain, and bacterial culture, that are useful in identifying the organism and differentiating between bacterial and viral meningitis. These laboratory tests can be used in combination with the clinical presentation to determine which patient should be treated for bacterial meningitis while awaiting the result of CSF Gram's stain and bacterial culture.
脑脊液检查是诊断脑膜炎的金标准。除了脑脊液细胞计数、葡萄糖浓度、革兰氏染色和细菌培养外，还有许多实验室检查可用于识别病原体并区分细菌性脑膜炎和病毒性脑膜炎。这些实验室检查可与临床表现相结合，以确定哪些患者在等待脑脊液革兰氏染色和细菌培养结果时应接受细菌性脑膜炎治疗。
