Piatnochka I T, Sikora V Z
Probl Tuberk. 1991(7):35-7.
The examined groups included 58 patients with cancer, 61 subjects with pulmonary tuberculosis and 50 healthy persons as controls. The content of trace elements in blood, bronchial lavage fluid from the most affected portions of the lungs, and in pathologic and healthy lung tissues was determined by a C-115 atomic absorption spectrophotometer. The examination findings demonstrated that the content of blood serum ferric zinc and magnesium, and erythrocyte zinc, manganese, potassium and calcium was higher in patients with pulmonary tuberculosis than in those with lung cancer. At the same time the content of magnesium and calcium in bronchial lavage fluid was higher in persons with a malignant process than in those with pulmonary tuberculosis. As far as differential diagnosis of pulmonary tuberculosis and lung cancer is concerned, it is advisable to measure the levels of erythrocyte trace elements since the latter most precisely reflects their content in the lung pathologic tissue.
受检组包括58例癌症患者、61例肺结核患者和50名健康人作为对照。使用C - 115原子吸收分光光度计测定血液、肺部最受影响部位的支气管灌洗液以及病理和健康肺组织中的微量元素含量。检查结果表明,肺结核患者血清中铁、锌和镁以及红细胞中锌、锰、钾和钙的含量高于肺癌患者。同时,恶性病变患者支气管灌洗液中镁和钙的含量高于肺结核患者。就肺结核和肺癌的鉴别诊断而言,建议测量红细胞微量元素水平,因为后者最能准确反映其在肺病理组织中的含量。