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ALT/ALP比值在黄疸鉴别诊断中的应用

Application of ALT/ALP in Differential Diagnosis of Jaundice
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摘要 目的:研究ALT/ALP比值(R值)对肝细胞性黄疸与胆汁淤积性黄疸的鉴别诊断价值,并比较R值与传统的D/T(DBIL/TBIL)值两者的诊断灵敏度。方法:回顾性分析2004年1月至2006年12月我科收治的显性黄疸患者336例的临床资料,计算R值与D/T值。结果:肝细胞性黄疸的诊断阳性率R值为34.9%,D/T值为16.1%,R>D/T(P<0.05),对胆汁淤积性黄疸的诊断阳性率D/T值为93.0%,R值为75.4%,D/T>R(P<0.05)。结论:对肝细胞性黄疸的诊断阳性率,R值高于D/T,而对胆汁淤积性黄疸的诊断阳性率D/T优于R值。 Objective: To study the diagnostic value of ALT/ALP (R value) with regard to differential diagnosis between hepatocellular jaundice and eholestatic jaundice, and to compare diagnostic sensibility of R value to D/T (DBIL/TBIL)value. Methods: The clinical data of 336 patients with clinical jaundice from Jan.2004 to Dec.2006 were analyzed retrospectively. The R value and D/T value were calculated. Results: Diagnosis rate of R value and D/T value were 34.9% and 16.1% in cases of hepatocellular jaundice, R〉D/T (P〈0.05). Diagnosis rate of D/T value and R value were 93.0% and 75.4%in cases of cholestatic jaundice, D/T〉R (P〈0.05). Conclusions: Diagnosis rate of R value is higher than that of D/T value in hepatoeellular jaundice, diagnosis rate of D/T value is higher than that of R value in eholestatic jaundice.
出处 《岭南急诊医学杂志》 2010年第5期369-370,381,共3页 Lingnan Journal of Emergency Medicine
关键词 ALT/ALP 黄疸 鉴别诊断 ALT/ALP jaundice differential diagnosis
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参考文献5

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