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足月妊娠和早产新生儿的正常脑脊液值。

Normal cerebrospinal fluid values in full-term gestation and premature neonates.

作者信息

Nascimento-Carvalho C M, Moreno-Carvalho O A

机构信息

Serviço de Pediatria, Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Brasil.

出版信息

Arq Neuropsiquiatr. 1998 Sep;56(3A):375-80. doi: 10.1590/s0004-282x1998000300005.

Abstract

Results of cerebrospinal fluid (CSF) examinations from 77 high-risk neonates were reviewed. The mean CSF white cells (WBC) count was 4.5 cell/mm3, being two standard deviations above the mean 11.7 cells/mm3 in the full-term gestation neonate group; in the premature neonate one, the mean CSF WBC count was 5.1 cells/mm3, being two standard deviations above the mean 16.7 cell/mm3. PMNs (polymorphonuclear leukocytes) were present in less than 40% of those children, being the mean PMN percentage 4.2% and 0.6%, the mean ANC (absolute neutrophil count) was 0.3/mm3 and 0.06/mm3, in full-term gestation neonate group and premature neonate one, respectively. The mean CSF protein concentration is significantly greater in those premature neonates (101.2 mg/dl) compared with that in term neonates (77.6 mg/dl). The average glucose was just the same in both groups (67 mg/dl). All of these values were from patients who underwent nontraumatic cisternal puncture, with no red blood cells (RBC/mm3 = 0). Traumatic puncture, even up to 500 RBC/mm3, interfered on CSF parameters.

摘要

回顾了77例高危新生儿的脑脊液(CSF)检查结果。CSF白细胞(WBC)平均计数为4.5个/立方毫米,比足月妊娠新生儿组的平均计数11.7个/立方毫米高出两个标准差;在早产儿组中,CSF白细胞平均计数为5.1个/立方毫米,比平均计数16.7个/立方毫米高出两个标准差。这些儿童中PMN(多形核白细胞)的比例不到40%,足月妊娠新生儿组和早产儿组的PMN平均百分比分别为4.2%和0.6%,平均ANC(绝对中性粒细胞计数)分别为0.3/立方毫米和0.06/立方毫米。与足月儿(77.6毫克/分升)相比,早产儿的CSF蛋白平均浓度明显更高(101.2毫克/分升)。两组的平均葡萄糖水平相同(67毫克/分升)。所有这些值均来自接受非创伤性脑池穿刺的患者,无红细胞(红细胞/立方毫米=0)。即使红细胞数高达500/立方毫米的创伤性穿刺也会干扰CSF参数。

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