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胸腔积液四项生化指标测定在胸腔积液性质鉴别中的应用 被引量:3

The Use of Detecting Four Bio-chemical Index Sign of Pleural Fluidfor Differentiating the Character of Pleuralfluid
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摘要 目的:探讨胸腔积液C-反应蛋白(CRP)、乳酸脱氢酶(LDH)、胆固醇(TCH)、总胆汁酸(TBA)在胸腔积液性质鉴别中的应用。方法:检测70例胸腔积液患者胸腔积液CRP、LDH、TCH、TBA四项生化指标。结果:恶性组CRP、LDH、TCH、TBA测定结果分别是(11.01±18.21)mg/L、(501.02±304.11)U/L、(2.15±0.81)mmol/L、(12.51±9.46)μmol/L;良性组测定结果分别是(26.15±21.03)mg/L、(310.22±185.43)U/L、(1.63±0.49)mmol/L、(6.85±2.92)μmol/L。CRP在良性胸腔积液中明显升高与恶性胸腔积液检测结果相比P<0.01;LDH、TCH、TBA在恶性胸腔积液中显著升高与良性胸腔积液相比P<0.01。结论:CRP、TCH、LDH、TBA联合检测在胸腔积液性质来源中鉴别中有一定的临床价值。 Objective To investigate the function of pleural fluid CRP,LDH and TCH on differentiating the character pleural fluid. MethOds The levels of pleural fluid CRP,LDH,TCH and TBA were detected in 70 pleuraleffusion patients. Results In malignant group the levels of CRP,LDH ,TCH and TBA were (11.01± 18.21) rag/L,(501.02±304. 11) U/L,(2.15±0.81) retool/L,(12.51±9.46) /,mol/L respectively;In benign group the levels of CRP,LDH,TCH and TBA were (26.15±21.03) mg/L,(310.22±185.43) U/L,(1.63±0.49) retool/L,(6.85±2.92)μmol/L respectively. CRP was increased significently of benign pleural fluid compared with that of malignant group(P〈0.01 ) ;LDH, TCH and TBA were increased highly compared with that of benign pleural fluid(P〈0.01). Conclusions Combination of detecting CRP,LDH,TCH and TBA of pleural fluid may be valuable to distinguish the charactor of pleural fluid.
出处 《实用医技杂志》 2006年第20期3544-3545,共2页 Journal of Practical Medical Techniques
关键词 胸腔积液 C-反应蛋白 乳酸脱氢酶 胆固醇 总胆汁酸 Pleural fulid CRP LDH TCH TBA.
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