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联合木糖-乳糖耐量试验在疑似吸收不良儿童中的应用(作者译)

[The application of a combined Xylose-lactose tolerance-test in children with suspected malabsorption (author's transl)].

作者信息

Brügmann G, Niessen K H, Schmidt K, Höntzsch D

出版信息

Monatsschr Kinderheilkd (1902). 1976 Feb;124(2):54-8.

PMID:1256451
Abstract

A combined xylose-lactose tolerance-test and a duodenal biopsy were performed in 68 children with suspected malabsorption-syndrome. The purpose of the present work was to assess the diagnostic value of xylose concentrations in blood at different times and to determine the additional discriminatory value to glucose levels. The contribution of the glucose rise to a calculated discriminant function is statistically significant but practically negligible and therefore does not justify its determination. A small-bowel biopsy is recommended if the concentration of xylose after 60 min is less than 26 mg/100 ml or the increment of xylose concentration above fasting level is 18 mg/100 ml or less.

摘要

对68名疑似吸收不良综合征的儿童进行了木糖-乳糖联合耐受性测试和十二指肠活检。本研究的目的是评估不同时间血液中木糖浓度的诊断价值,并确定其相对于葡萄糖水平的额外鉴别价值。葡萄糖升高对计算出的判别函数的贡献在统计学上具有显著意义,但在实际中可忽略不计,因此没有理由测定它。如果60分钟后木糖浓度低于26mg/100ml,或木糖浓度高于空腹水平的增加值为18mg/100ml或更低,则建议进行小肠活检。

相似文献

1
[The application of a combined Xylose-lactose tolerance-test in children with suspected malabsorption (author's transl)].联合木糖-乳糖耐量试验在疑似吸收不良儿童中的应用(作者译)
Monatsschr Kinderheilkd (1902). 1976 Feb;124(2):54-8.
2
[The difficulties to diagnose a clinical important defect of disaccharidases (author's transl)].[诊断二糖酶临床重要缺陷的困难(作者译)]
Monatsschr Kinderheilkd (1902). 1975 Nov;123(11):734-9.
3
[One hour blood D-xylose tolerance test in children with malabsorption syndrome (author's transl)].
Lijec Vjesn. 1978 Jul;100(7):448-50.
4
[Xylose test. Anatomoclinical correlations].[木糖试验。解剖临床相关性]
An Esp Pediatr. 1984 Nov 30;21(8):732-8.
5
[Xylose test. Correlation with small bowel histology (author's transl)].
Ann Pediatr (Paris). 1980 Dec;27(10):655-8.
6
[The value of the blood xylose test in children with the malabsorption syndrome (author's transl)].血液木糖试验在吸收不良综合征患儿中的价值(作者译)
Wien Klin Wochenschr. 1977 Mar 4;89(5):157-60.
7
[Validity of the H2 breath test and limits of blood xylose in the evaluation of malabsorption in children].[儿童吸收不良评估中H2呼气试验的有效性及血液木糖检测的局限性]
Pediatr Med Chir. 1983 May-Jun;5(3):75-8.
8
[Usefulness of the serum-xylose-test in comparison with small-intestine morphology in the malabsorption syndrome].[血清木糖试验与吸收不良综合征小肠形态学相比的实用性]
Padiatr Padol. 1977;12(4):393-400.
9
[Diagnostics of lactose-malabsorption: value of tolerance tests and 14CO2 exhalation test in patients with and without lactase deficiency (author's transl)].乳糖吸收不良的诊断:乳糖耐量试验和¹⁴CO₂呼气试验在乳糖酶缺乏和非缺乏患者中的价值(作者译)
Med Klin. 1976 Nov 12;71(46):2017-22.
10
A practical approach to diagnosis of disorders of intestinal absorption.肠道吸收障碍疾病的实用诊断方法。
N Engl J Med. 1971 Dec 9;285(24):1358-61. doi: 10.1056/NEJM197112092852406.