血清-胸液蛋白梯度和血清-胸液白蛋白梯度在鉴别胸腔积液渗漏出液中的作用

下载PDF

导出

摘要胸腔积液是临床医生经常面对的临床综合征,准确地区分胸腔积液的性质对于提供正确的诊断和治疗非常关键.Light标准迄今为止被认为是区分胸腔积液为漏出液或渗出液的金标准,但尚存在许多的不足之处.本次研究通过对136例胸腔积液的检测,发现血清-胸液白蛋白梯度在鉴别胸腔积液中更具优势.现报道如下.

作者吕晓东刘加良

机构地区嘉兴市第一医院呼吸科

出处《全科医学临床与教育》 2010年第5期540-541,共2页 Clinical Education of General Practice

基金嘉兴市科技局立项项目(2008AY2033-8)

关键词白蛋白梯度胸腔积液渗漏出液胸液血清鉴别 Light标准临床综合征

参考文献1

1Gazguez I,Porcel JM, Vives M,et al. Comparative analysis of Light 's criteria and other biochemical parameters for distinguishing transudates from exu dates. Respir Med, 1998,92: 762-765.
2Maj Bernard J, Roth MC.Evaluating pleural fluid. Chest,1996,110:7-8.
3Costa M,Quiroga T, Cruz E.Measurement of Pleural fluid cholesterol and lac tate dehydrogenase,a simple and accurate set of indicators for separating exudates from transudates. Chest, 1995,108:1260-1263.
4Suay VG, Moragon EM, Viedma EC, et al. Pleunl cholesterol in differentiating transudates and exudates: a proopective study of 232 cases. Respiration,1995,62:57-63.
5Romero S, Martmez A, Hemandez L, et al. Light' s criteria revisited: consis tency and comparison with new proposed altemative criteria for separating pleural transudutes from exudates. Respiration,2000,67: 18-23.
6Chakko SC, Caldwell SH, Sforza PP. Treatment of congestive heart failure and its effect on pleural fluid chemistry. Chest, 1989,95:798-802.
7Chakko S. Pleural effusions in congestive heart failure. Chest, 1990,98: 521- 522.
8Light RW. Diagnostic principles in pleural disease. Eur Respir J, 1997, 10:476-481.
9Ceyhan B, Celikel T. Serum-effusion albumin gradient in separation of tran sudative and exudative pleural effusions. Chest, 1994,105:974.
10Burgess LI, Maritz FJ,Taljaard JJF. Comparative analysis of the biochemical parameters used to distinguish between pleural transudates and exudates. Chest, 1995,107:1604-1609.

全科医学临床与教育

2010年第5期

内容加载中请稍等...