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结核是胸膜积液最常见的病因,通过胸膜活检,积液的细胞学和细菌学检查,80%的结核性胸膜积液病原学诊断可建立。近年报道表明胸水腺苷脱氨酶,(ADAp)胸水溶菌酶(Lp)及Lp/Ls(血清溶菌酶比值测定在结核性与非结核性及恶性胸膜积液的鉴别诊断中具有重要意义。本文对138例不同病因的胸膜积液患者ADAp 和Lp/Ls 比值同时测定以探讨其诊断价值及适用性。作者对住院的164例胸膜积液患者中的138例同时测定了Lp、Ls 及ADAp。将病人分为:结核病(TB)组,61例;恶性肿瘤(CA),42例;非并发的肺炎(PN),5例;渗出液(Ts),14例;脓胸(EM),6例;混合组(Mx),10例,包括2例扩散性红斑狼疮、2例外伤后积液,1例胰腺
Tuberculosis is the most common cause of pleural effusion. Pleural biopsy, effusion cytology and bacteriological examination, 80% of tuberculous pleural effusion etiological diagnosis can be established. In recent years, reports have shown that pleural effusion adenosine deaminase, (ADAp) pleural fluid lysozyme (Lp) and Lp / Ls (serum lysozyme ratio in tuberculous and non-tuberculous and malignant pleural effusion differential diagnosis is of great significance. The diagnostic value and applicability of ADAp and Lp / Ls ratio in 138 patients with pleural effusion of different etiologies were simultaneously determined.The Lp, Ls and ADAp were measured simultaneously in 138 of the 164 patients with pleural effusion. The patients were divided into TB group (61), malignant tumor (CA), 42 cases, non-concurrent pneumonia (PN), 5 cases, exudate (Ts) 6 cases; mixed group (Mx), 10 cases, including 2 cases of diffuse lupus erythematosus, 2 cases of traumatic effusion, 1 case of pancreas