血清丙氨酸氨基转移酶和总胆汁酸联合测定对肝病的诊断价值

目的评价联合测定血清丙氨酸氨基转移酶（ＡＬＴ）和总胆汁酸（ＴＢＡ）对肝病的诊断价值。方法 临床确诊肝病分成隐性黄疸型肝炎,急性无黄疸型肝炎,慢性肝炎,重症肝炎,淤胆型肝炎和肝硬变６组,同时设正常对照组,用紫外酶联连续监测法测定血清ＡＬＴ,用酶偶联ＢＮＴ法测定血清ＴＢＡ。结果 各组肝病ＡＬＴ和ＴＢＡ检测结果与正常对照组比较：ｔ〉４．２９２,Ｐ〈０．００１。阳性率分别为１００％,８５．９％,６４．６％

Evaluation of alanine aminotransferase and total bile acids in serum as liver diseases diagnosis

Objectivev To evaluate diagnostic value of alanine aminotransfrase (ALT) and total bile acids (TBA) in serum to liver diseases. Methods 324 cases from Acute icteric hepatitis (AIH), Acute anicteric hepati- tis (AAH), Chronic hepatitis (CH), Serious hepatitis (SH), Bile foul hepatitis (BFH) and Cirrhosis of liver (CL) were separated 6 group, and ALT, TBA were determined by LDH-UV and BNT methods. Results The re- sults showed that positive rate of ALT were 100%, 85.9%, 64.6%, 100%, 100%, 40.6% and TBA were l00%, 89.l%, 75.9%, 100%, 100% 100% respectively in AIH, AAH, CH, SH, BFH and CL group. The positive rate of determined ALT associate with TBA in AAH, CH and CL were 95.3%, 87.5% and 100%, re- spectively. Conclusion It suggested that determined ALT associate with TBA can enhance the positive rate of AAH, CH and CL.