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囊性纤维化。汗液检测中遇到的问题。

Cystic fibrosis. Problems encountered with sweat testing.

作者信息

Rosenstein B J, Langbaum T S, Gordes E, Brusilow S W

出版信息

JAMA. 1978 Oct 27;240(18):1987-8. doi: 10.1001/jama.240.18.1987.

DOI:10.1001/jama.240.18.1987
PMID:691224
Abstract

The sweat test is the only practical and reliable laboratory test for confirmation of the diagnosis of cystic fibrosis. Among 234 patients referred to The Johns Hopkins Hospital for sweat testing, 62 had had a previous test; 29 tests had been reported as negative, and 33 tests had been reported as positive. Results of quantitative pilocarpine-iontophoresis sweat tests at this center led to a change in diagnosis in 27 (43.5%) of these 62 patients. Most of the errors were false-positive.

摘要

汗液测试是确诊囊性纤维化唯一实用且可靠的实验室检测方法。在转诊至约翰霍普金斯医院进行汗液测试的234名患者中,62人曾接受过此前的测试;29次测试报告为阴性,33次测试报告为阳性。该中心进行的毛果芸香碱离子电渗汗液定量测试结果使这62名患者中的27人(43.5%)诊断发生了改变。大多数错误为假阳性。

相似文献

1
Cystic fibrosis. Problems encountered with sweat testing.囊性纤维化。汗液检测中遇到的问题。
JAMA. 1978 Oct 27;240(18):1987-8. doi: 10.1001/jama.240.18.1987.
2
Chloride measurement by microelectrode in cystic fibrosis and normal sweat.
Miner Electrolyte Metab. 1987;13(3):196-200.
3
Cystic fibrosis with edema and falsely negative sweat test.伴有水肿及汗液试验假阴性的囊性纤维化
J Pediatr. 1973 Jul;83(1):86-8. doi: 10.1016/s0022-3476(73)80320-8.
4
Reliability of sweat tests in diagnosis of cystic fibrosis.
J Pediatr. 1972 Jul;81(1):193-7. doi: 10.1016/s0022-3476(72)80435-9.
5
Misdiagnosis of cystic fibrosis. Need for continuing follow-up and reevaluation.囊性纤维化的误诊。需要持续随访和重新评估。
Clin Pediatr (Phila). 1987 Feb;26(2):78-82. doi: 10.1177/000992288702600204.
6
Evaluation of a cystic fibrosis screening system incorporating a miniature sweat stimulator and disposable chloride sensor.一种结合微型汗液刺激器和一次性氯化物传感器的囊性纤维化筛查系统的评估。
Clin Chem. 1986 May;32(5):850-3.
7
Cooperative study comparing three methods of performing sweat tests to diagnose cystic fibrosis.比较三种进行汗液测试以诊断囊性纤维化方法的合作研究。
Pediatrics. 1980 Nov;66(5):752-7.
8
Sweat testing infants detected by cystic fibrosis newborn screening.对通过囊性纤维化新生儿筛查检测出的婴儿进行汗液检测。
J Pediatr. 2005 Sep;147(3 Suppl):S69-72. doi: 10.1016/j.jpeds.2005.08.015.
9
[Comparison of the classical Gibson-Cooke methods and the chloride-sensitive electrode in sweat testing for diagnosis of cystic fibrosis].[经典吉布森-库克方法与氯化物敏感电极在汗液检测诊断囊性纤维化中的比较]
Padiatr Padol. 1991;26(4):173-5.
10
[Nightsweat collection for simple diagnosis of mucoviscidosis (author's transl)].
Padiatr Padol. 1974;9(1):48-54.

引用本文的文献

1
The relevance of sweat testing for the diagnosis of cystic fibrosis in the genomic era.在基因组时代,汗液检测对囊性纤维化诊断的相关性。
Clin Biochem Rev. 2005 Nov;26(4):135-53.
2
Proposal of a CT scoring system of the paranasal sinuses in diagnosing cystic fibrosis.用于诊断囊性纤维化的鼻窦CT评分系统的提议
Eur Radiol. 2003 Jun;13(6):1451-60. doi: 10.1007/s00330-003-1825-8. Epub 2003 Apr 5.
3
Secretin pancreozymin stimulation test and confirmation of the diagnosis of cystic fibrosis.促胰液素-缩胆囊素刺激试验与囊性纤维化诊断的确证
Gut. 1982 Sep;23(9):744-50. doi: 10.1136/gut.23.9.744.