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多项指标联合检测在结核性与恶性胸腔积液鉴别诊断中的价值
引用本文:肖乐东.多项指标联合检测在结核性与恶性胸腔积液鉴别诊断中的价值[J].检验医学与临床,2011,8(15):1827-1828.
作者姓名:肖乐东
作者单位:湖南省邵阳市第一人民医院检验科,422001
摘    要:目的探讨联合检测胸腔积液中的乳酸脱氢酶(LDH)、腺苷脱氨酶(ADA)、C反应蛋白(CRP)和结核抗体(TB-Ab)在结核性与恶性胸腔积液鉴别诊断中的价值。方法将113例渗出性胸腔积液患者分为结核积液组(72例)和恶性积液组(41例),检测胸腔积液中的LDH、ADA、CRP和TB-Ab,并进行统计学分析。结果结核组胸腔积液中的ADA、CRP浓度和TB-Ab阳性率显著高于恶性积液组(P<0.01);结核组胸腔积液中LDH阳性率明显低于恶性积液组(P<0.01)。结论 进行胸腔积液中LDH、ADA、CRP和TB-Ab的联合检测在鉴别结核性与恶性胸腔积液中具有重要的临床价值。

关 键 词:乳酸脱氢酶  腺苷脱氨酶  C反应蛋白  结核抗体  胸腔积液

Differential diagnosis value of multiple indexes in tuberculous and malignant pleural effusion
XIAO Le-dong.Differential diagnosis value of multiple indexes in tuberculous and malignant pleural effusion[J].Laboratory Medicine and Clinic,2011,8(15):1827-1828.
Authors:XIAO Le-dong
Institution:XIAO Le-dong(Department of Clinical Laboratory,The First People′s Hospital of Shaoyang City,Hunan 422001,China)
Abstract:Objective To investigate the differential diagnostic values of the levels of lactate dehydrogenase(LDH),adenosine deaminase(ADA),C-reactive protein(CRP) and tuberculosis antibody(TB-Ab) in malignant and tuberculous pleural effusion.Methods 113 cases with differential diagnostic pleural effusion were divided into tuberculous pleural effusion and malignant pleural effusion groups.The levels of LDH,ADA,CRP and TB-Ab were detected and statistically analyzed in the two groups.Results The concentration of ADA,CRP...
Keywords:lactate dehydrogenase  adenosine deaminase  C-reactive protein  tuberculosis antibody  pleural effusion  
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