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151例神经系统疾病脑脊液β2—微球蛋白的放射免疫测定

RADIOIMMUNOASSAY OF CEREBROSPINAL FLUID β2-MICROGLOBULIN IN 151 PATIENTS WITH NERVOUS SYSTEM DISEASES

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【作者】 邢永前巫志明凌蓓蒂陈富嫦薛瑶嫦许志恩潘儒南邹劲张俊徽周伟正莫凡

【Author】 Xing Yongqian1 Wu Zhiming1 Ling Beidi2 Chen Fuchang1 Xue Yaochang3 Xu Zhieng1 Pan Ru’ nan1 Zou Jin1 Zhang Junhui1 Zhou Weizheng2 Mo Fan31. Department of Neurology,Affiliated Hospital of ZhanJiang Medical College2. Department of Nucleal Medicine, Affiliated Hospital of Zhangjiang Medical College3. Department of Infectious Diseases, Affiliated Hospital of ZhanJiang Medical College

【机构】 湛江医学院附属医院神经内科湛江医学院附属医院核医学科湛江医学院附属医院传染病科湛江医学院附属医院传染病科

【摘要】 本文用放免法测定151例神经疾患病人和21例正常人CSF中β2-微球蛋白含量。病变组包括急性脑血管病、颅内感染性疾病、脊髓疾病、症状性癫病和其他疾病。正常组均值为1.21μg/ml。病变组均值普遍增高,除急性脊髓炎之外与正常组对比均有显著性差异,但以出血性脑血管病、细菌或真菌性脑膜炎和脊髓压迫症者升高尤为显著。资料表明CSF中β2-微球蛋白不适于做为特异性诊断指标,但对于同一组疾病中的各个病种之间的鉴别有一定的意义。

【Abstract】 The level of CSF β2-microglobulin(β2-m) was determinated in 151 patients with nervous system disease including acute cerebrovascular diseases, intracranial infection, spinal cord diseases, symptomatic epilepsy and others. The mean level of CSF β2-m in control was 1. 21μg/ml. Except the patients with acute myelitis, β2-m level of CSF in the patients with other diseases is significantly higher than that of the control,especially in the patients with hemorrhagic cerebrovascular diseases , meningitis of bacteria or mycotic organnism and compressive myelopathy. The result showed that the elevation of CSF β2-m level is not a specific diagnotic indicator,yet it is of some value in the differential diagnosis between hemorrhagic and ischemic cerebrovascular disease, bacteria and aseptic intracranial infection,compressive and noncompressive myelopathy.

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