Schaarschmidt G
Z Erkr Atmungsorgane. 1978 Jan;150(1):59-67.
The glucose and fructose concentrations in the punctured liquid and the glucose effusion serum quotient were determined for 200 persons with pleural effusions of different genesis. It was tried to estimate the diagnostic value of this quotient for the differentiation of effusions of malignant, specific, nonspecific genesis and cardiac transsudations. A serum comparison value of the punctured fructose was determined in a control group of 30 persons with healthy metabolism value. The results of the examinations show, that a certain separation between the malignant and tuberculous exsudations is possible by means of the determination of glucose. The glucose level for the pleuritis exsudativa tuberculosa amounts to about 50 till 70 mg% whereas its value lies above the serum mean value for the malignant basic disease (glucose effusion serum quotient above 1). The determination of fructose seems to be limited suitable for the differentiation of the specific and nonspecific pleural diseases. The classification of the glucose and fructose concentrations has in relation with other examination parameters a differential diagnostic value, especially for the differentiation of malignant and specific pleural effusions. The tests for both parameters can be realized in every laboratory-clinical-chemistry.
对200例不同病因胸腔积液患者测定了穿刺液中的葡萄糖和果糖浓度以及葡萄糖渗出液与血清比值。试图评估该比值对鉴别恶性、特异性、非特异性病因胸腔积液及心脏漏出液的诊断价值。在30例代谢正常的健康对照人群中测定了穿刺果糖的血清对照值。检查结果表明，通过测定葡萄糖，恶性胸腔积液与结核性渗出液之间可以有一定区分。结核性渗出性胸膜炎的葡萄糖水平约为50至70mg%，而其值高于恶性基础疾病的血清平均值（葡萄糖渗出液与血清比值大于1）。果糖测定对于鉴别特异性和非特异性胸膜疾病似乎适用性有限。葡萄糖和果糖浓度的分类与其他检查参数相关，具有鉴别诊断价值，尤其是对鉴别恶性和特异性胸腔积液。这两个参数的检测在每个临床化学实验室都可以实现。
