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几种方法对胸腔积液诊断价值的比较

VALUE OF SEVERAL METHODS FOR DIAGNOSIS OF PLEURISY WITH EFFUSION

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【作者】 孙圣华尹本义海镇环胡成平

【Author】 Sun Shenhua; Ying Benyi;Hai Zhenhuan; Hu Chenping(Department of Respiratory,Xiangya Hospital,Hunan Medical University)

【机构】 湘雅医院呼吸科

【摘要】 比较几种方法对30例胸腔积液的病因诊断价值。发现胸膜活检术简便易行、安全可靠;胸液结核菌脱氧核糖核酸聚合酶联反应具有快速、高灵敏、高特异性;胸液癌胚抗原检测对初步鉴别结核或肿瘤所致胸腔积液有实用价值;测定胸液/血乳酸脱氢酶和胸液沉渣找癌细胞及结核杆菌和结核杆菌培养,其实用价值有限。

【Abstract】 everal common methods were observed and compared,pleurisy biopsy is a simple andsafe, reliable and economic pathologic diagnostic method which should be specially promotedin the lower medical units. The specificity of PCR-TB-DNA is very high but the sensitivenessis lower. The measurement of CEA is useful to diagnose pleural effusion induced by tubercu-losis or tumor. The positive rate of the measurement of LDH,anti-PPD antigen,carcinomacell,tubercle bacillus and culture of tubercle bacillus is too low,and so is the practical valuelow.

  • 【文献出处】 湖南医科大学学报 ,BULLETIN OF HUNAN MEDICAL UNIVERSITY , 编辑部邮箱 ,1994年04期
  • 【分类号】R561.04
  • 【下载频次】44
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