Bruun B, Stilbo I, Bartels P
Acta Pathol Microbiol Immunol Scand B. 1984 Apr;92(2):85-8. doi: 10.1111/j.1699-0463.1984.tb02799.x.
Lactate concentrations in the pleural fluid of 50 patients were determined by the Monotest Lactate Kit. Lactate values were found higher in bacterial pleural infections than in cases of hydrothorax. Elevated levels were also found in most cases of histologically confirmed cases of pleural neoplasms and in some cases of non-bacterial pleuritis exsudativa . The highest levels were found in cases of empyema, but there was considerable overlapping between the groups. Pleural lactate thus appears to have little diagnostic value in the differential diagnosis between empyema and non-bacterial pleural effusions.
采用单测试乳酸试剂盒测定了50例患者胸腔积液中的乳酸浓度。发现细菌性胸腔感染患者的乳酸值高于胸腔积水患者。在大多数经组织学确诊的胸膜肿瘤病例以及一些非细菌性渗出性胸膜炎病例中也发现乳酸水平升高。脓胸病例中乳酸水平最高，但各组之间存在相当大的重叠。因此，胸腔乳酸在脓胸与非细菌性胸腔积液的鉴别诊断中似乎没有什么诊断价值。
