Pettersson T, Ojala K, Weber T H
Infection. 1985 Nov-Dec;13(6):257-9. doi: 10.1007/BF01645433.
Lactate concentrations in the pleural fluid and plasma of 57 patients with pleural effusions were measured by an enzymatic method. The mean pleural fluid lactate concentrations were significantly higher in patients with empyemas and rheumatoid arthritis than in patients with tuberculosis, cancer, non-specific pleural effusions and congestive heart failure. Pleural fluid lactate concentrations correlated significantly with pleural fluid lactate dehydrogenase activities and inversely with pleural fluid glucose concentrations. An elevated pleural fluid lactate concentration is not diagnostic for empyema, as most patients with rheumatoid arthritis and some with tuberculosis and cancer also show high values.
采用酶法测定了57例胸腔积液患者胸腔积液和血浆中的乳酸浓度。脓胸和类风湿关节炎患者的胸腔积液平均乳酸浓度显著高于肺结核、癌症、非特异性胸腔积液和充血性心力衰竭患者。胸腔积液乳酸浓度与胸腔积液乳酸脱氢酶活性显著相关，与胸腔积液葡萄糖浓度呈负相关。胸腔积液乳酸浓度升高对脓胸并无诊断意义，因为大多数类风湿关节炎患者以及部分肺结核和癌症患者的乳酸浓度也较高。
