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联合检测ADA、LDH和CRP对结核性与恶性胸腔积液的诊断价值
引用本文:江国峰.联合检测ADA、LDH和CRP对结核性与恶性胸腔积液的诊断价值[J].医学检验与临床,2008,19(4).
作者姓名:江国峰
作者单位:青岛市胸科医院检验科
摘    要:目的探讨联合测定胸腔积液中的腺苷脱氨酶(ADA)、乳酸脱氢酶(LDH)和C反应蛋白(CRP)在结核性与恶性胸腔积液上鉴别诊断的价值。方法酶法和免疫比浊法检测59例结核性胸腔积液和17例恶性肿瘤积液中ADA、LDH和CRP的含量,并进行统计学分析。结果结核性胸腔积液中ADA和CRP水平显著高于恶性积液的值,具有统计学意义,P<0.01。但是,结核性胸腔积液中LDH含量低于恶性积液的LDH值,有显著性差异,P<0.01。结论胸腔积液中ADA、LDH和CRP的联合检测,对鉴别结核性与恶性胸腔积液有重要价值。

关 键 词:腺苷脱氨酶  乳酸脱氢酶  C反应蛋白  结核

The diagnosis value of adenosine daminase,C-reactive protein and lactate dehydrgenase combined detection for tuberculosis and malignat plural effusion
Jiang Guofeng.The diagnosis value of adenosine daminase,C-reactive protein and lactate dehydrgenase combined detection for tuberculosis and malignat plural effusion[J].Medical Laboratory Science and Clinics,2008,19(4).
Authors:Jiang Guofeng
Institution:Jiang Guofeng; Chen Min; Chen Lihua; et al(The department of clinical laboratory; the thoracic hospital of Qingdao; Qingdao 266043; China);
Abstract:Objective To explore the values on the adenosine deaminase(ADA) C-reactive protein(CRP) and lactate dehydrogenase(LDH) measurements for the differentiation between tuberculosis and malignant plural effusion.Methods Adenosine deaminase and lactase dehydrogenase were detected by enzymetic method,while C-reactive protein by immunological method.Results The levels of ADA,CRP in tuberculous pleural fluids were higher than those in malignant pleural effusions,and there were significant differences(p<0.01).But ...
Keywords:Adenosine daminase  Lactate dehydrgenase  C-reactive protein  Tuberculosis
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