腹水葡萄糖含量测定对结核性与癌性腹水的鉴别价值  

The value of measuring glucose content in ascites in the differential diagnosis of tuberculous and cancerous ascites

作　　者：张桂芝[1] 杨晓春[1] 右红妍[1] 孙庆玲[1] 张晓光[2] 韩雅琳[2] 刘桪[2] 车长兰 

机构地区：[1]黑龙江省电力医院内科 [2]哈尔滨医科大学附属第二医院消化内科 [3]哈尔滨市三棵树粮食仓库卫生所

出　　处：《新消化病学杂志》1993年第3期142-143,共2页

摘　　要：作者对我院收治的87例确诊的腹水病人进行了腹水葡萄糖、胆固醇和铁蛋白含量测定。发现腹水葡萄糖含量为鉴别结核性与癌性腹水的敏感指标,最佳界限值为3.7mmol/L,低于此值为结核性腹水,高于此值为癌性腹水,正确诊断率达93.3％。腹水铁蛋白含量对二者鉴别仅有参考价值。The contents of glucose, cholesterol and ferric proteinin in ascites were measured in 87 patients with ascites. The best boundary value of glucose content was 3.7mmol/L. If the glucose content in ascites was lower than 3.7mmol/L, the ascites would be tuberculous one. Other wise, it would be cancerous one. The correct diagnosis rate is 93.3％ Ferric protein content in ascites is reference only in differential diagnosis. The results suggested that the glucose content in aseites is a sensitive index for differentiating tuberculous ascites from cancerous one.

关 键 词：癌性腹水 含量测定 鉴别价值 葡萄糖含量 mol/L 结核性腹水 正确诊断率 铁蛋白含量 敏感指标 参考价值 胆固醇 界限值 

分 类 号：R442.5[医药卫生—诊断学] R586.2[医药卫生—临床医学]