ADA在结核性胸腔积液中诊断意义  

Test for adenosine deaminase for diagnosing tubercular pleural effusions

作　　者：罗虹[1] 

机构地区：[1]成都市四川省人民医院保健科,610072

出　　处：《临床肺科杂志》2008年第12期1598-1599,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的比较结核性胸水ADA和非结核性胸水ADA活性差异和诊断阳性率,并观察不同年龄组结核性胸水中ADA活性水平和诊断的阳性率。方法对80例结核性胸水患者和48例的非结核性胸水ADA进行分析,并以60岁为界限分为两组,进行组间ADA活性和诊断结核阳性率比较。结果结核性胸水患者中ADA活性高于非结核性胸水患者的ADA,并且ADA诊断结核性胸膜炎的阳性率高于后者。另外,结核性胸水ADA在不同年龄组间无显著性差异。结论:胸水中ADA的检测对结核性胸水的临床诊断有较大帮助。Objective To compare ADA in tubercular pleural effusions and non-tubercular pleural effusions,and to observe ADA activity and diagnosing positive rate in tubercular pleural effusion in different age groups. Methods The study analyzed ADA activity in 80 subjects who were diagnosed tubercular pleuritis and 48 subjects who suffered non-tubercular pleural effusions. 80 subjects suffered tuber-culosis were divided into two groups by age of 60 （above or below）. ADA activity and diagnosing positive rate were compared between the groups. Results ADA in the tubercular pleural effusions was higher than in the non-tubercular pleural effusions. There was no difference for ADA and positive rate in the two groups. Conclusion ADA in pleural effusions is helpful in diagnosing tubercular pleural effusions.

关 键 词：ADA 结核性胸腔积液 敏感性 

分 类 号：R521.7[医药卫生—内科学] R541.5[医药卫生—临床医学]