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生化分析对于腹水病因鉴别诊断的意义 被引量:4

Significance of biochemical analysis for the differential diagnosis of clinical etiology of ascites
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摘要 目的分析腹水生化的检验指标及其效果,探讨腹水生化检验在临床中的诊断价值。方法回顾性分析国家康复辅具研究中心附属康复医院2010年2月至2012年1月收治的66例腹水初诊患者的腹水生化检验指标及效果。结果恶性肿瘤患者腹水中胆固醇和乳酸脱氢酶含量增高;结核性疾病患者腹水中的腺苷脱氨酶含量明显增高;细菌感染性腹水患者葡萄糖有很重要的鉴别作用。结论对于鉴别腹水性质、来源,联合应用腹水中生化指标,能有效提高检验效果,其具有较高敏感性和准确性,而且费用低廉,有一定的临床应用价值,适合基层医院应用。 Objeetive To analyze the diagnostic value of the biochemical analysis of ascites. Methods The in- dicators and effects of biochemical tests in this hospital from February 2010 to January 2012 among 66 patients with ascites newly diagnosed were retrospectively analyzed. Results Total cholesterol and lactate dehydrogenase levels in- creased in malignant ascites. Adenosine deaminase was significantly higher in patients with tuberculous ascites. Glu- cose was very important for the differential diagnosis of bacterial ascites. Conclusion For the identification of nature and source of ascites, combined detection of ascites biochemical markers might be effective to improve sensitivity, and be with high specificity and low cost, which could be adapted in primary hospitals.
作者 刘芯宇
出处 《检验医学与临床》 CAS 2013年第9期1095-1096,共2页 Laboratory Medicine and Clinic
关键词 腹水 胆固醇 乳酸脱氢酶 腺苷脱氨酶 ascites total cholesterol lactate dehydrogenase adenosine deaminase glucose
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