ADA检测在胸腔积液中的诊断价值

【摘要】 目的探讨胸腔积液中腺苷脱氨酶(ADA)的检测对胸腔积液性质的判断价值。方法回顾性调查我科2012-01—2013-01诊断明确的胸腔积液患者临床资料,共66例,其中41例结核性胸腔积液,25例恶性胸腔积液,对不同疾病结果ADA水平进行分析。结果 ADA水平在结核性胸腔积液中较恶性胸腔积液有明显增高,但恶性胸腔积液中发现2例血液系统恶性肿瘤,其ADA异常增高。结论胸腔积液ADA增高对结核性胸膜炎有重要的诊断价值,但异常增高的ADA水平要警惕血液系统恶性肿瘤可能。更多还原

【Abstract】 Objective To explore the diagnostic value of Adenosine deaminase(ADA)detection in pleural effusion.Methods The clinical data of 66 patients diagnosed definitely with pleural effusion from the inpatients of respiratory department between January 2012 and January 2013 were retrospectively investigated,including 41 patients with tuberculous pleural effusion and 25 patients with malignant pleural effusion.The values of ADA between the two groups were compared.Results There is a more significant rising of ADA value in tuberculosis pleural effusion than in malignant pleural effusion;however there are abnormally high values of ADA in 2 cases diagnosed with malignant tumor in blood system.Conclusion The rise of ADA in pleural effusion has significant diagnostic value for tuberculous pleurisy.But the abnormal high value of ADA may hint for the possibility of malignant tumor in blood system.更多还原