论文部分内容阅读
腹水是常见临床症候,产生腹水常见病因75～90％为肝硬化、结核性腹膜炎及肿瘤。我们曾对腹水纤维结合蛋白(FN)、腺苷脱氢酶(ADA)及胎甲球蛋白(AFP)在腹水鉴别诊断中的价值进行了探讨,提出:①ADA、FN均明显升高为结核性腹水;②ADA与FN均低于界值为除结核外良性腹水,③ADA低于界值,FN和/或AFP高于界值85％为恶性腹水。从而对结核及肺瘤所致腹水的诊断提出了参考依据。同时我们对168例腹水进行了胆酸(CG)、AFP、癌胚抗原
Ascites is a common clinical syndrome, resulting in 75 to 90% of common causes of ascites cirrhosis, tuberculous peritonitis and cancer. We have explored the value of ascites fibronectin (FN), adenosine dehydrogenase (ADA) and fetuin (AFP) in the differential diagnosis of ascites, and proposed that: (1) Both DA and FN were significantly elevated to tuberculous Ascites; ②ADA and FN were lower than the threshold for benign ascites except tuberculosis, ③ADA below the threshold, FN and / or AFP higher than the threshold of 85% of malignant ascites. Thus the diagnosis of tuberculosis and lung cancer caused by ascites proposed a reference. At the same time we carried on 168 cases of ascites cholic acid (CG), AFP, carcinoembryonic antigen