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乳性脑脊液在内镜血液瘤去除过程中没有感染:说明案例

Koji Saito¹, Hirokazu Koseki¹, Tatsuya Hirotsu¹

¹Department of Neurosurgery, The Jikei University School of Medicine, Tokyo.

Journal of neurosurgery. Case lessons

|February 23, 2026

概括

在没有感染的脑内出血患者中,乳性脑脊液 (CSF) 是罕见的. 这一案例突出了严重的高甘油三血症作为原因,其中甘油三从血液瘤中排泄到脑脊液中.

科学领域:

神经学神经学
生物化学生物化学

背景情况:

在没有感染的脑内出血 (ICH) 中,乳性脑脊液 (CSF) 不常见.
在这种情况下,高甘油血症是中枢神经液的首要原因.

研究的目的:

报告与ICH和严重高甘油三血症相关的乳性CSF病例.
在ICH和高甘油三血症的背景下,审查关于乳性CSF的文献.

主要方法:

一名57岁的男性患者表现出意识受损和心室穿孔的胸腔出血.
紧急内镜性血液瘤切除揭示了乳性脑脊液和血清中极高的甘油三水平 (2445 mg/dL).
没有细菌感染的迹象.

主要成果:

患者在手术内血液瘤疏散过程中表现出乳性CSF.
严重的高甘油三血症被证实是脑脊液的原因.
这是第一个用手术视频记录乳性脑脊液在内镜手术期间的病例报告.

结论:

高度的甘油三,无法穿越血脑屏障,被怀疑从血瘤中排泄出来,导致乳性脑脊液.
过高甘油三血是与ICH相关的非传染性乳性CSF的一个重要因素.

关键词:

大脑脊髓液中的脑脊液.脱脂血症是什么脱脂血症过高甘油三糖血症的发生.脑内出血脑内出血室内静脉出血室内静脉出血

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Cerebrospinal Fluid

Cerebrospinal Fluid

Cerebrospinal fluid (CSF) is a colorless liquid that flows around the brain and the spinal cord, playing a vital role in the protection, support, and overall function of the central nervous system (CNS). CSF production, circulation, and absorption are tightly regulated processes essential for the brain and spinal cord to function properly.
CSF Production
CSF is produced mainly in the choroid plexus, a network of capillaries and ependymal cells located within the ventricular system of the brain....