Sapunar J, Sapunar J, Velásco C, Poniachik J, Paredes R
Rev Med Chil. 1989 Dec;117(12):1363-6.
We performed a prospective study including cytochemical, bacteriologic and pathologic observations in 25 patients with ascites of different causes. Activity of adenosine deaminase in ascitic fluid was higher in tuberculous (103 +/- 61 mu/l) than in neoplastic (16 +/- 8), inflammatory (16 +/- 13) and portal hypertension (15 +/- 6) etiologies (p less than 0.05). Inflammatory cases included patients with lupus and spontaneous peritonitis. Activity of adenosine deaminase was higher in every patient with tuberculosis than in any other patient. Thus, a high sensitivity and specificity of this test in the diagnosis of tuberculous peritonitis is confirmed.
我们进行了一项前瞻性研究，对25例不同病因腹水患者进行了细胞化学、细菌学和病理学观察。结核性腹水（103±61μ/l）中腺苷脱氨酶活性高于肿瘤性（16±8）、炎症性（16±13）和门静脉高压性（15±6）病因的腹水（p<0.05）。炎症性病例包括狼疮和自发性腹膜炎患者。每例结核病患者的腺苷脱氨酶活性均高于其他任何患者。因此，证实了该检测在结核性腹膜炎诊断中的高敏感性和特异性。
