Jenss U, Töwe D, Diwok K
Abteilung für Pneumonologie der Klinik für Innere Medizin, Wilhelm-Pieck-Universität Rostock.
Z Erkr Atmungsorgane. 1989;173(2):161-5.
Levels of total cholesterol, triglycerides, HDL-cholesterol and LDL-cholesterol were measured in the pleural effusions and the corresponding serum from 52 patients suffering from non-chylous pleural effusions with different genesis. Significantly higher concentrations of lipids were found in exudates in comparison to transudates. The highest levels of total cholesterol and triglycerides were found in effusions with malignant and pneumonia genesis. It was additionally observed that higher than average values were found for HDL-cholesterol in patients with malignant diseases and for LDL-cholesterol in patients with pneumonia. Transudate effusions from patients with heart insufficiency and nephrotic syndrome had significantly lower levels of cholesterol and triglycerides. We were unable to establish a relationship between levels in pleural fluid and serum.
对52例不同病因的非乳糜性胸腔积液患者的胸腔积液及相应血清中的总胆固醇、甘油三酯、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇水平进行了测定。与漏出液相比,渗出液中的脂质浓度显著更高。在恶性和肺炎性病因的胸腔积液中发现总胆固醇和甘油三酯水平最高。此外还观察到,恶性疾病患者的高密度脂蛋白胆固醇和肺炎患者的低密度脂蛋白胆固醇高于平均值。心力衰竭和肾病综合征患者的漏出液胸腔积液中胆固醇和甘油三酯水平显著较低。我们未能确定胸腔积液和血清水平之间的关系。