Kuwajima M
Department of Clinical Laboratories, Kagawa Central Hospital, Takamatsu.
Rinsho Byori. 1992 May;40(5):489-93.
Clinical usefulness of Essential Laboratory Tests (1), proposed by Japan Society of Clinical Pathology, was retrospectively evaluated in 500 outpatients who first visited the medical clinic of a prefectural general hospital. Sixty percent of the patients were diagnosed with gastrointestinal disease or respiratory disease. Performance rates of urinalysis, blood counts, serum total protein, A/G ratio, C-reactive protein, erythrocyte sedimentation rate and fecal occult blood were 87.6%, 55.8%, 49.6%, 48.8%, 37.8%, 10.0% and 5.6%, respectively. Abnormal test results rate of urinalysis, blood counts, serum total protein, A/G ratio, C-reactive protein, erythrocyte sedimentation rate and fecal occult blood were 12.3%, 12.9%, 14.1%, 5.7%, 21.6%, 22.6% and 25.9%, respectively. The clinical diagnoses and the abnormal test results indicated that the patients general condition was assessed properly from the A/G ratio, 92% of patients with proteinuria were transient cases and urobilinogen has poor sensitivity and specificity for the diagnosis of liver diseases.
日本临床病理学会提出的《基本实验室检查（1）》的临床实用性，在首次就诊于某县综合医院内科门诊的500例门诊患者中进行了回顾性评估。60%的患者被诊断患有胃肠道疾病或呼吸道疾病。尿液分析、血常规、血清总蛋白、A/G比值、C反应蛋白、红细胞沉降率和粪便潜血的执行率分别为87.6%、55.8%、49.6%、48.8%、37.8%、10.0%和5.6%。尿液分析、血常规、血清总蛋白、A/G比值、C反应蛋白、红细胞沉降率和粪便潜血的异常检查结果率分别为12.3%、12.9%、14.1%、5.7%、21.6%、22.6%和25.9%。临床诊断和异常检查结果表明，从A/G比值能恰当评估患者的一般状况，92%的蛋白尿患者为短暂性病例，尿胆原对肝病诊断的敏感性和特异性较差。
