血清ADA对血行播散型肺结核的早期诊断意义

Serum ADA in early diagnosis of hematogenous disseminated pulmonary tuberculosis

目的了解血清ADA检测对血行播散型肺结核早期诊断的临床价值。方法用酶比色法检测血清ADA,血行播散型肺结核47例,继发型肺结核49例,肺癌52例,肺部感染28例,对照组18例。结果血行播散型肺结核组ADA值明显高于继发型肺结核组、肺部感染组、肺癌组和对照组(P<0.05),血行播散型肺结核组ADA阳性率高于继发型肺结核组、肺部感染组和肺癌组(P<0.05)。结论血清ADA值的增高对血行播散型肺结核的早期诊断有参考意义,并与继发型肺结核、肺癌、肺部感染的鉴别诊断有重要临床意义。

Objective To evaluate the clinical value of serum Adenosin Deaminase（s-ADA）test in early diagnosis of Hematogenous Disseminated Pulmonary. Tuberculosis（HDPT）. Methodes s-ADA was examined using enzymatic - Colorimetric method among 176 cases of patients（47 HDPT, 49 secondum pulmonary tuberculosis,52 pulmonary carcinoma,28 puhnonary infection）and 18 cases of control group. Results s-ADA activity of HDt：＇T is significantly higher than secondum pulmonary tuberculosis,pulmonary carcinoma, pulmonary infection and control group （ P 〈 0.05 ）. s-ADA masculine of HDPT is higer than secondum puhnonary tuberculosis, pulmonary carcinoma and pulmonary infection（P 〈 0.05）. Conclusions The raising up of s-ADA activity will be useful for early diagnosis of HDPT and differentiating HDPT from secondum pulmonary tuberculosis, pulmonary carcinoma or pulmonary infection.