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腺苷脱氨酶活性在结核性腹膜炎诊断中的应用

Adenosine deaminase activity in the diagnosis of tuberculous peritonitis.

作者信息

Martinez-Vazquez J M, Ocaña I, Ribera E, Segura R M, Pascual C

出版信息

Gut. 1986 Sep;27(9):1049-53. doi: 10.1136/gut.27.9.1049.

Abstract

We studied the activity of adenosine deaminase in the peritoneal fluid of 66 patients who were divided into five groups according to causes of ascites as follows: tuberculous peritonitis (group I), septic peritonitis (group II), secondary to malignant tumours (group III), miscellaneous conditions (group IV), and control subjects of transudates (group V). In patients with tuberculous peritonitis the enzyme activity was significantly higher than for the rest of the groups (p less than 0.001), and enzyme concentrations in all patients were well above the upper non-tuberculous value. Adenosine deaminase activity in the peritoneal fluid has proved to be a simple and reliable method for early diagnosis of tuberculous peritonitis.

摘要

我们研究了66例患者腹腔液中腺苷脱氨酶的活性,这些患者根据腹水病因分为五组,如下:结核性腹膜炎(第一组)、化脓性腹膜炎(第二组)、继发于恶性肿瘤(第三组)、其他情况(第四组)以及漏出液对照受试者(第五组)。结核性腹膜炎患者的酶活性显著高于其他组(p<0.001),所有患者的酶浓度均远高于非结核性的上限值。腹腔液中腺苷脱氨酶活性已被证明是早期诊断结核性腹膜炎的一种简单可靠的方法。

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本文引用的文献

1
Tuberculous peritonitis; a follow-up study of 169 cases.结核性腹膜炎;169例随访研究
Tubercle. 1952 May;33(5):132-8. doi: 10.1016/s0041-3879(52)80081-9.
7
Peritoneoscopy in the diagnosis of tuberculous peritonitis.腹腔镜检查在结核性腹膜炎诊断中的应用
Gastrointest Endosc. 1981 May;27(2):66-8. doi: 10.1016/s0016-5107(81)73152-3.
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Peritoneal tuberculosis.腹膜结核
Endoscopy. 1984 Jan;16(1):10-2. doi: 10.1055/s-2007-1018516.

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