Wördehoff D
Leber Magen Darm. 1981 Jan;11(1):25-30.
Measurement of lactate dehydrogenase (LDH), glucose and protein was performed in ascites fluid of 44 patients in addition to bacteriological and cytological examinations. In patients with cirrhosis of the liver protein content of ascites was low, LDH normal, and the ascites/serum ratio of glucose concentration was higher than 1. These values were statistically significant different from the values in patients with tumorous or inflammatory disease of the peritoneum - protein and LDH in the ascites fluid being high and the ascites/serum ratio of glucose concentration being below 1. Cirrhosis however and tumors of the liver could not be differentiated by this method. Ascites from patients with cardiac failure had high protein content. In patients with liver cirrhosis high concentrations of protein in ascitic fluid may mean possibly a better survival time.
除了进行细菌学和细胞学检查外,还对44例患者的腹水进行了乳酸脱氢酶(LDH)、葡萄糖和蛋白质的检测。肝硬化患者腹水中蛋白质含量低,LDH正常,腹水/血清葡萄糖浓度比值高于1。这些值与腹膜肿瘤或炎症性疾病患者的值在统计学上有显著差异——腹水中蛋白质和LDH含量高,腹水/血清葡萄糖浓度比值低于1。然而,肝硬化和肝癌无法通过这种方法区分。心力衰竭患者的腹水蛋白质含量高。肝硬化患者腹水中高浓度的蛋白质可能意味着更好的生存时间。