胸腹水中TC、TG、HDL－C、LDL－C及载脂蛋白测定对渗出液与漏出液鉴别诊断的价值探讨

THE EVALUTION ON OF DIFFERENTIAL DIAGNOSIS OF TRANSUDATE AND EXUDATE BY DETERMINING TOTAL CHOLESTEROL,TRIGLYCERIDE,LIPOPROTEIN AND APOLIPOPROTEIN

检测８９例住院患者胸腹水中总胆固醇（ＴＣ）、甘油三酯（ＴＧ）、高密度脂蛋白胆固醇（ＨＤＬ－Ｃ）、低密度脂蛋白胆固醇（ＬＤＬ－Ｃ）及载脂蛋白Ｂ－１００（ａｐｏＢ_（１００））含量，结果表明渗出液中ＴＣ、ＬＤＬ－Ｃ及ａｐｏＢ_（１００）含量显著增高，以载脂蛋白ａｐｏＢ_（１００）最敏感并与ＴＣ、ＬＤＬ－Ｃ呈正相关而与ＨＤＬ－Ｃ不相关。用ａｐｏＢ_（１００）鉴别渗出液、漏出液结果与临床的符合率可达８９．９％，优于常规检测。同时探讨了应用ＴＣ、ＬＤＬ－ＣａｐｏＢ_（１００）三项指标测定能提高鉴别诊断的符合率。

Total cholesterol(TC), triglyceride(TG), high density lipoprotrin-cholesterol (HDL-C)and apolipoproteinB_(100)were determined in transudate or extidate from 89 inpatients. The result showed that there was a remarhalle increase of TC,LDL-C and apoB_(100) in exudate,of them apoB￣(100) was more sensitive leing positively related to TC and LDL-C. Using results of apoB_(100)in transudete and exudate for clinical diagnosis the accordance rate reached 89.9%,which is much more letter than routine tests. It can increase the accordance rate for differential diagnosis if TC,LDL-C and apoB_(100) are determined simtiltaneously.