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胸水是一种常见的临床征象,多数不难诊断,但有20％的病例经临床各项检查,仍难以确诊。本文就胸水生化检查的有关进展与临床价值作一综述。一、葡萄糖测定:同时测定胸水葡萄糖与血糖更有诊断价值,漏出液与大多数渗出液的葡萄糖水平与血糖平行。但下列疾病常有胸水葡萄糖的降低:1.化脓性:由于细菌对葡萄糖的分解与利用,胸水中糖常有显著降低,脓胸的葡萄糖通常<20mg/100ml,曾有30例非结核性脓胸,胸水葡萄糖平均值约14mg/100ml。另有报告黄甲综合征引起的脓胸,胸水的葡萄糖<10mg/100ml,而且口服或注射葡萄糖后,胸水
Pleural effusion is a common clinical signs, the majority is not difficult to diagnose, but 20% of the cases by the clinical examination, is still difficult to diagnose. This article reviews the progress and clinical value of pleural fluid biochemical tests. First, the determination of glucose: Simultaneous determination of pleural fluid glucose and blood glucose more diagnostic value, leakage of liquid and most exudate glucose levels and blood glucose parallel. However, the following diseases often have reduced pleural fluid glucose: 1. suppurative: due to bacterial decomposition and utilization of glucose, pleural effusion often have a significant decrease in glucose, empyema glucose <20mg / 100ml, there have been 30 cases of non-tuberculous pus Chest, pleural effusion average about 14mg / 100ml glucose. Another report caused by the Yellow River syndrome empyema, pleural effusion glucose <10mg / 100ml, and after oral or injection of glucose, pleural effusion