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SAAG联合腹水总蛋白水平诊断肝硬化腹水的意义
引用本文:宿冬远.SAAG联合腹水总蛋白水平诊断肝硬化腹水的意义[J].胃肠病学和肝病学杂志,2011,20(1):53-54.
作者姓名:宿冬远
作者单位:崇州市人民医院消化科,四川,崇州,611230
摘    要:回顾性调查我院120例肝硬化腹水患者SAAG及腹水总蛋白水平,并以30例结核性腹膜炎、40例癌性腹水作对照。结果发现,以SAAG≥11 g/L且腹水总蛋白〈25 g/L为标准,判断为肝硬化腹水,其准确率为98%,无假阳性,假阴性率为2%;结核性腹膜炎患者中无SAAG≥11 g/L且总蛋白〈25 g/L患者;癌性腹水SAAG≥11 g/L且总蛋白〈25 g/L占2.5%。我们认为,以SAAG≥11 g/L且腹水总蛋白〈25 g/L,可有效判断肝硬化腹水。

关 键 词:腹水白蛋白梯度(SAAG)  肝硬化  腹水  腹水总蛋白

Diagnostic value of combining SAAG and ascites total protein in the ascites of liver cirrhosis
SU Dongyuan.Diagnostic value of combining SAAG and ascites total protein in the ascites of liver cirrhosis[J].Chinese Journal of Gastroenterology and Hepatology,2011,20(1):53-54.
Authors:SU Dongyuan
Institution:SU Dongyuan Department of Gastroenterology,Chongzhou People's Hospital,Chongzhou 611230,China
Abstract:All 120,30 and 40 patients with ascites caused by liver cirrhosis,tuberculosis and carcinoma respectively were collected.SAAG≥11 g/L and TP<25 g/L as a standard in diagnosing liver cirrhosis,the positive rate was 98%,false positive rate was 0,false negative rate was 2% in liver cirrhosis patient.In tuberculosis patients,there was no SAAG≥11 g/L and TP<25 g/L patient.In carcinoma patients,SAAG≥11 g/L and TP<25 g/L were 2.5%,so SAAG≥11 g/L and TP<25 g/L might be very useful in diagnosing the ascetes of liver cirrhosis.
Keywords:Serum-Ascites Albumin Gradient(SAAG)  Liver cirrhosis  Ascites  Ascites total protein  
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