C-反应蛋白在结核性与肿瘤性胸腔积液鉴别中的意义  

Use of C- Reactive Protein in Differential Diagnosis of Tuberculosis and Malignant Pleural Fluid

作　　者：刘映川[1] 王启珣[1] 何辉[1] 柯华[1] 刘定义[1] 

机构地区：[1]成都市第七人民医院,四川成都610021

出　　处：《现代临床医学》2005年第2期78-79,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨胸水及血清中C-反应蛋白(CRP)在结核及肿瘤性胸腔积液鉴别诊断中的价值。方法:使用免疫比浊法,对116例胸腔积液患者同时测定胸水及血清中CRP浓度,并评价其结果。结果:结核组及肿瘤组胸水中CRP浓度分别为28. 70±13. 30mg·L-1和10. 02±8. 2mg·L-1,两组胸水CRP/血清CRP比值分别为1. 81±0. 70和0. 82±0. 21,两者相比差异显著(P<0. 01)。结论:CRP在结核性与肿瘤性胸腔积液鉴别中有一定价值。Objective: To investigate the value of C- reactive protein(CRP) in differential diagnosis of tuberculosis and malignant pleural fluid. Methods: To assay the CRP levels of pleural fluid and blood in 116 patients.The data were analyzed by statistical method . Results: The levels of CRP in patients with tuberculous pleural effusions were elevated higher than those who with malignant pleural effusions ,The data are:(28.70)±13.30㎎/L and 10.02±8.21㎎/L,The ratio of CRP concentration in pleural effusion and blood serum also shows significant difference,The data are 1.81±0.70 and 0.82±0.21 respectively. (Conclusion): The chang of CRP in pleural effusions are of clinically diagnostic value in distinguishing tuberculosis from malignant pleural effusions.

关 键 词：C-反应蛋白 胸腔积液 鉴别诊断 免疫比浊法 

分 类 号：R561.3[医药卫生—呼吸系统]