脓毒性和非脓毒性关节炎中的滑液乳酸水平。
Synovial fluid lactate levels in septic and non-septic arthritides.
作者信息
Gobelet C, Gerster J C
出版信息
Ann Rheum Dis. 1984 Oct;43(5):742-5. doi: 10.1136/ard.43.5.742.
Abstract
Lactate concentration was studied in 383 synovial fluid specimens from patients with various arthritides. The highest concentrations of lactate occurred in non-gonococcal septic synovial fluids. High values were recorded in seropositive rheumatoid arthritis and crystal-induced arthritides, medium values in synovial fluids from seronegative rheumatoid arthritis, seronegative spondylarthritides, gonococcal arthritis and haemarthrosis, and the lowest values in aspirates from osteoarthrotic joints. There was a positive correlation between synovial pH and lactic acid concentration. These data suggest that determination of lactate in synovial fluid can be valuable in the rapid exclusion of septic arthritis. Its value for differentiating between other inflammatory arthritides is discussed.
摘要
对383例患有各种关节炎的患者的滑液样本中的乳酸浓度进行了研究。乳酸浓度最高的是在非淋菌性化脓性滑液中。血清阳性类风湿关节炎和晶体诱导性关节炎中记录到高值，血清阴性类风湿关节炎、血清阴性脊柱关节炎、淋菌性关节炎和关节积血的滑液中值中等，骨关节炎关节穿刺液中的值最低。滑液pH值与乳酸浓度之间存在正相关。这些数据表明，测定滑液中的乳酸对快速排除化脓性关节炎可能有价值。还讨论了其在区分其他炎症性关节炎方面的价值。
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