Antillon M R, Runyon B A
Department of Internal Medicine, King/Drew Medical Center, Los Angeles, CA 90059.
Arch Intern Med. 1991 Mar;151(3):509-10. doi: 10.1001/archinte.151.3.509.
Patients with high peripheral leukocyte counts are sometimes found to have high leukocyte counts in ascitic fluid in the presence of negative cultures. To determine if peripheral leukocytosis (greater than or equal to 20 x 10(9)/L) by itself can result in high leukocyte or neutrophil counts in ascites, 29 patients were studied. A total of 31 paracenteses were performed in these patients as soon as the high peripheral leukocyte count was determined. Culture of ascitic fluid was performed using blood-culture bottles. The mean peripheral leukocyte count was 29.3 +/- 9.3 x 10(9)/L, with a mean neutrophil count of 19.9 +/- 6.5 x 10(9)/L. The mean ascitic fluid neutrophil count was 0.064 +/- 0.054 x 10(9)/L (range, 0.007 to 0.197 x 10(9)/L). No significant correlation was found between peripheral neutrophil (or leukocyte) count and neutrophil (or leukocyte) count in ascitic fluid. Marked peripheral leukocytosis (or neutrophilia) does not seem to have an effect on the leukocyte or neutrophil count in ascitic fluid.
外周白细胞计数高的患者有时在腹水培养阴性的情况下，其腹水中白细胞计数也会升高。为了确定外周白细胞增多症（大于或等于20×10⁹/L）本身是否会导致腹水白细胞或中性粒细胞计数升高，对29例患者进行了研究。一旦确定外周白细胞计数升高，就立即对这些患者进行了总共31次腹腔穿刺术。使用血培养瓶对腹水进行培养。外周白细胞计数的平均值为29.3±9.3×10⁹/L，中性粒细胞计数的平均值为19.9±6.5×10⁹/L。腹水中性粒细胞计数的平均值为0.064±0.054×10⁹/L（范围为0.007至0.197×10⁹/L）。在外周中性粒细胞（或白细胞）计数与腹水中性粒细胞（或白细胞）计数之间未发现显著相关性。明显的外周白细胞增多症（或中性粒细胞增多症）似乎对腹水白细胞或中性粒细胞计数没有影响。
