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对61例伴有腹水的住院患者,应用腹水/血糖比率协助结核性腹膜炎的诊断(Tubercle 1984;65:47).其中29例临床证实为肝硬化患者,余32例均伴有肺部活动性结核病灶,所有病人经腹腔穿刺抽出至少50ml 腹水与血标本同时送检.结果在伴有肺部结核病灶的结核性腹水葡萄糖含量为1.3～5.8mmol/L,腹水/血糖比率低者0.25,高者0.93,平均0.64;29例肝硬化性腹水葡萄糖含量为6.5～7.7mmol/L,平均7.23,其比率为1.06～1.60,平均1.34.两组相比,差异有非常显著性(P<0.01)。本文结论认为,腹水/血糖比率是鉴别结核性腹水的一个可靠指标,用于区别结核性腹膜炎与其它疾病引起的腹水,其可靠性比腹水中细胞总数或分类计数更高,在没有活检或病理条件的地
Of the 61 inpatients with ascites, the diagnosis of tuberculous peritonitis was assisted by ascites / blood glucose ratio (Tubercle 1984; 65: 47), of which 29 were clinically confirmed as cirrhosis and the other 32 were associated with pulmonary activity Tuberculosis.All patients had at least 50ml of ascites and blood samples were taken by abdominal paracentesis.Results In patients with pulmonary tuberculosis, the glucose content of tuberculous ascites was 1.3 ~ 5.8mmol / L, the rate of ascites / blood glucose was 0.25, high 0.93 with an average of 0.64.The glucose content in 29 patients with cirrhosis was 6.5-7.7mmol / L, with an average of 7.23, the ratio was 1.06-1.60, with an average of 1.34.The difference was significant (P <0.01) . This paper concluded that the ascites / blood glucose ratio is a reliable indicator of tuberculous ascites, used to distinguish tuberculous peritonitis and other diseases caused by ascites, its reliability than the total number of ascites or cell count higher, in the absence of biopsy or pathology Conditions of the land