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膝关节液的鉴别诊断。酶学分析(作者译)

[Differential diagnosis of knee joint fluid. Enzymatic analysis (author's transl)].

作者信息

Kratky G, Hefel P

出版信息

Arch Orthop Trauma Surg (1978). 1978 Dec 12;93(1):65-73. doi: 10.1007/BF00386553.

DOI:10.1007/BF00386553
PMID:727932
Abstract

Between 1971 and 1976 clinical and chemical examinations of 165 joint fluids in 149 patients were made. The comparison of clinical findings and results of laboratory tests lead us to distinguish between inflammatory and non-inflammatory joint fluids. The reported tests are simple and results can be given quickly. We do not know of any literature on the incidence of CHE in joint fluids. It seems to be of considerable importance that there is a correlation between the degree of CHE-activity and the degree of cartilagenous lesions. As far as we know no comparative tests on Caeruloplasmin in the serum and in the synovial fluid have been made. The quantitative measurement of uric acid in the synovial fluid is more efficient than other methods. The reported methods simplify the differential diagnosis of synovial fluid effusions.

摘要

1971年至1976年间,对149例患者的165份关节液进行了临床和化学检查。临床检查结果与实验室检测结果的比较使我们能够区分炎性和非炎性关节液。所报告的检测方法简单,结果可快速得出。我们尚未找到有关关节液中铜蓝蛋白氧化酶(CHE)发生率的任何文献。CHE活性程度与软骨损伤程度之间存在相关性,这一点似乎相当重要。据我们所知,尚未对血清和滑液中的铜蓝蛋白进行比较检测。滑液中尿酸的定量测定比其他方法更有效。所报告的方法简化了关节液渗出的鉴别诊断。

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引用本文的文献

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[Differential diagnosis of post-traumatic hydrarthrosis of the knee joint].[膝关节创伤后关节积水的鉴别诊断]
Unfallchirurgie. 1983 Jun;9(3):146-51.

本文引用的文献

1
[Physical-chemical principles as a basis of general arthrology].[作为普通关节学基础的物理化学原理]
Z Orthop Ihre Grenzgeb. 1961 Nov;95:202-12.
2
[Drug-induced arthropathies].[药物性关节病]
Ther Ggw. 1968 May;107(5):626-8 passim.
3
[Proceedings: microscopic and enzymatic studies of the synovial fluid. A contribution to the diagnosis of pre-arthrosis].[会议论文:滑液的显微镜检查和酶学研究。对关节病前期诊断的贡献]
Z Orthop Ihre Grenzgeb. 1974 Aug;112(4):551-2.
4
[Proceedings: The significance of local metabolic processes in the development of arthrosis].[会议论文:局部代谢过程在关节病发展中的意义]
Z Orthop Ihre Grenzgeb. 1974 Aug;112(4):547-50.
5
[Glucose examination in the differential diagnosis of joint effusions].[葡萄糖检测在关节积液鉴别诊断中的应用]
Z Orthop Ihre Grenzgeb. 1969 Nov;107(1):134-8.
6
[Synovial fluid enzymes necessary for the metabolism of the joint cartilage].[关节软骨代谢所需的滑液酶]
Z Orthop Ihre Grenzgeb. 1966 Apr;101(2):267-9.
7
[Chemical and bacteriological investigation of 50 knee joint punctates].[50例膝关节穿刺液的化学及细菌学检查]
Munch Med Wochenschr. 1972 Jun 30;114(26):1230-3.
8
[Pathophysiological data and their consequences on diagnosis and therapy of degenerative joint diseases].[退行性关节疾病的病理生理数据及其对诊断和治疗的影响]
Med Monatsschr. 1975 Mar;29(3):113-6.