胸腹水中TP、LDH、IgG、IgA测定对渗出液和漏出液的鉴别价值

STUDY ON THE VALNUE OF TP,LDH,IgG,IgA,IN THORACIC AND ASCITIC FLUID TO DIFFERENTIATE EXUDATE FROM TRANSUDATE

目的 :探讨胸腹水中和血液中TP、LDH、IgG、IgA含量的比值对渗出液和漏出液的鉴别价值。方法 :利用日立 70 6 0全自动生化分析仪和美国BN - 10 0全自动特种蛋白仪检测积液和血中TP、LDH、IgG、IgA ,且对所得数据进行统计分析。结果 :渗出液中TP、LDH、IgG、IgA均值分别为 4 2 .6 0g/L、4 2 4 .0 0U/L、9.2 1g/L、1.6 2g/L ;漏出液中TP、LDH、IgG、IgA均值分别为 8.76g/L、71.4U/L、2 .5 6g/L、0 .5 5g/L ;同时渗出液中各指标与血中的比值分别为 0 .6 1、0 .94、0 .5 1;漏出液中各指标与血中的比值分别为 0 .14、0 .2 3、0 .15、0 .17。且经t检验均具有显著性差异 (P <0 .0 1)。结论 :渗出液中TP、LDH、IgG、IgA含量或者是与血中的比值明显高于漏出液 ,其检测对积液性质的判断具有十分重要的意义。

Objective: To explore a new method to distinguish exudate from transudate. Method: 23 cases and 18 cases of confirmed exudates and transudates were prepared, the contents of TP,LDH,IgG,IgA were determined, and their ratio to blood content were compared and statistically analysed. Result: The means of TP, LDH, IgG, IgA and their ratio to those of blood were significantly higher in exudates than in transudates. Conclusion: The determination of TP, LDH, IgG, IgA is important to differentiate exudate from transudate.