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肝性脑病患者血氨增高。作者比较了肝细胞癌患者腹水中的氨与血氨值,报导肝细胞癌与肝硬变时所得的不同结果。对象为入院时有腹水的肝病患者36例。其中肝硬变18例,肝细胞癌18例(均伴肝硬变)。诊断系据腹腔镜、肝闪烁扫描、超声波检查,腹部血管造影等。而肝细胞癌的最后诊断系据腹部血管造影。血及腹水中的氨用酶学方法测定。结果表明18例肝硬变的腹水中氨值均高于血氨。在18例肝细胞癌中,9例门静
Hemotopia in patients with elevated ammonia. The authors compared the ammonia and blood ammonia values in ascites of patients with hepatocellular carcinoma and reported different results for hepatocellular carcinoma and cirrhosis. Thirty-six patients with liver disease with ascites were admitted to hospital. Including cirrhosis in 18 cases, 18 cases of hepatocellular carcinoma (both with cirrhosis). Diagnostic laparoscopy, scintigraphy, ultrasound, abdominal angiography. The final diagnosis of hepatocellular carcinoma is based on abdominal angiography. Ammonia in ascites and blood is determined enzymatically. The results showed that 18 cases of liver cirrhosis ascites ammonia value were higher than the blood ammonia. In 18 cases of hepatocellular carcinoma, 9 cases of portal static