结核性和癌性胸水鉴别诊断的探讨

Investigation on Differential Diagnosis of Tuberculous and Cancerous Pleural Fluid

本文对25例结核性胸膜炎及22例癌性胸膜炎患者,同时测定胸水和血清的癌胚抗原(CEA)、铁蛋白,乳酸脱氢酶同功酶、血管紧张素转换酶(ACE)。结果表明CEA、铁蛋白对二者鉴别诊断有意义,因个别病人有重叠现象,所以胸水、血清的各项化验指标,应结合临床症状、体征及其它实验室检查结果,进行综合分析,作出判断,不应过分强调某单项检查的作用。

Carcino-embryonic Antigen (CEA), ferritin, Lactic Dehydrogenase (LDH) isoenzyme, Angiotensin-converting Enzyme (ACE) in pleural fluid and serum were detected simultaneously both tn 25 tuberculous pleurisy patients and 22 cancerous pleurisy patients. Results indicated: CEA and ferritin were significant to the differential diagnosis. Because of overlap in some patients, diverse tests of pleural fluid and serum should be conbined with clinical symptom, signs and other laboratory results, analysed synthetically and diagnosed. Single test result should not be over emphasized.