ADA活力测定对诊断结核性浆膜腔积液的价值  

EVALUATION OF ADA ACTIVITY FOR THE DIAGNOSIS OF TUBERCULOUS EFFUSION

作　　者：陈其奎[1] 冒国光[1] 王练[1] 韩真[1] 赵唯信[2] 汪佑霞[2] 

机构地区：[1]皖南医学院附属弋矶山医院内科 [2]皖南医学院消化实验室

出　　处：《皖南医学院学报》1991年第1期17-19,共3页Journal of Wannan Medical College

摘　　要：本文测定了结核性浆膜腔积液(n=20),癌性积液(n=15)、漏出液(n=22)的 ADA活力分别为34.43±21.95U、15.36±8.65U、8.76±5.03U.结核性积液中 ADA 活力显著增高,以20u 为正常值上限,ADA 对诊断结核性浆膜腔积液的阳性率为85.00%,特异性89.13%.尽管结核性积液中淋巴细胞计数明显升高,但与 ADA 活力无相关性(r=0.129).Levels of ADA in pleural and abdominal effusion were determined in 57 patients (tuberculous effusion in 20,cancerous effusion 15,transudate22).ADA activities were 38.43±21.95U,15.36±8.65U,8.76±5.03Urespectively.ADA in tuberculous effusion was statistically higher than those in cancerous effusion and in transudate(P<0.01).If ADA ac- tivity≥20U is chosen as positive criterion for tuberculous effusion,the sensitivity and specificity of diagnosis will be 85.0% and 89.13% respectively.Although the number of lymphocyte in tuberculous effusion is increased significantly,it has no relation with ADA activ- ity(r=0.129).

关 键 词：腺苷脱氢酶 胸腔液 结核 诊断 

分 类 号：R561.404[医药卫生—呼吸系统]