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[两种高铁血红蛋白测量方法及游离血红蛋白在水肿性和出血性胰腺炎鉴别诊断中的价值比较]

[Comparison of 2 methemalbumin measurements and of free hemoglobin in view of their value in the differential diagnosis of edematous and hemorrhagic pancreatitis].

作者信息

Bosseckert H, Günther E, Striehn E, Felsch B, Erler M, Sallen B

机构信息

Klinik für Innere Medizin Friedrich-Schiller-Universität Jena.

出版信息

Gastroenterol J. 1991;51(1):1-4.

PMID:1910488
Abstract

Methemalbumin was estimated by means of electrophoresis and the method of Walberg, respectively in 59 patients (25 pat. with edematous, 34 patients with hemorrhagic pancreatitis) partially over three days. In addition the estimation of free hemoglobin in ascites has been carried out. By both approaches of methemalbumin estimation there was no differentiation of the two pancreatitis forms possible. Though the method of Walberg was much more sensitive especially in the serum its specificity was correspondingly lower. The tendency to a correlation of the methemalbumin-concentration to the severity of the course of the disease could be observed. Such a correlation has been proved statistically for the free hemoglobin.

摘要

分别采用电泳法和瓦尔贝里法对59例患者(25例水肿型胰腺炎患者,34例出血性胰腺炎患者)在三天内部分时间进行高铁血红蛋白白蛋白测定。此外,还对腹水中游离血红蛋白进行了测定。通过两种高铁血红蛋白白蛋白测定方法,无法区分这两种胰腺炎类型。虽然瓦尔贝里法更敏感,尤其是在血清中,但其特异性相应较低。可以观察到高铁血红蛋白白蛋白浓度与疾病病程严重程度之间的相关性趋势。对于游离血红蛋白,这种相关性已得到统计学证实。

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