鲎试验对腹膜透析并发腹膜炎诊断价值的探讨  

Searching for clinical value of limulus amoebocyte cysate in peritonitis in CAPD

作　　者：刘建社[1] 李贞琼[1] 罗长青[1] 朱红艳[1] 胡燕 

机构地区：[1]同济医科大学附属协和医院肾病科,武汉430022

出　　处：《临床泌尿外科杂志》1998年第5期219-220,共2页Journal of Clinical Urology

摘　　要：为寻求简便、快速诊断腹膜透析并发腹膜炎的有效方法，对6例持续性非卧床腹膜透析（CAPD）患者隔夜腹透液进行了66次鲎试验观察。结果21次为腹膜炎，其中鲎试验阳性7次，占33．3．％，用抗革兰阴性菌抗生素疗效佳。认为鲎试验是CAPD并发革兰阴性菌性腹膜炎的简便、快速的诊断方法，为及时使用有效抗生素提供了有力证据。The limulus amoebeyte lysate (LAL) were applied in observing of the interval might samples from 66 case episodes on continuous ambulatory peritoneal dialysis (CAPD) in order to search for a simple,quick way of diugnosing peritonitis in CAPD and chuning effective antibiotics.The result showed that these were 21 case episodes with peritonitis in 66 case episodes,of which LAL was positive for 7 case episodes (7/21) (occupied 33. 3% ),and it was sensitive to gram negative antibioties. It was concluded thta LAL was a simple,quick way of the diagnosis of G- bacterium peritonitis in CAPD and could provide evidence for the choice of the effective antibiotics in early treatment.

关 键 词：鲎试验 腹膜炎 腹膜透析 并发症 

分 类 号：R459.5[医药卫生—治疗学] R656.41[医药卫生—临床医学]