多项生化指标联合检测在良恶性胸水鉴别诊断中的应用

MULTIPLE BIOCHEMICAL TESTS IN THE DIFFERENTIAL DIAGNOSIS OF BOTH BENIGN AND MALIGNANT PLEURAL EFFUSIONS

本文检测了２８例良性胸水和３１例恶性胸水的癌胚抗原（ＣＥＡ）、β２微球蛋白（β２ＭＧ）、乳酸脱氢酶（ＬＤＨ）、铁蛋白值。恶性胸水的ＣＥＡ、ＬＤＨ显著高于良性胸水。但两组间的β２ＭＧ、铁蛋白差异无显著性。故联合检测胸水多项生化指标，在良、恶性胸水鉴别中有价值。

The values of carcinoembryoiantigen(CEA),βeta-2-microglobulin(β 2MG),lactic dehydrogenase(LDH)and ferritin in pleural effusions from 28 patients with benign pleurisy and 32 with malignant pleurisy were studied.The values of CEA and LDH in the malignant effusions were significantly higher than those in the benign effusions while the β 2MG and ferritin values in the benign effusions had no significant difference from those in the malignant effusions.The results of the study showed that the combined tests mentioned above were beneficial for the differential diagnosis of pleural effusions.