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曾有几篇报告提到,结核性浆膜炎的积液培养法加以改良可提高阳性结果,如采用≥2次胸腔抽出液,用200ml 的腹水作培养,床旁采集心包积液直接接种于培养基等,但均未用同一标本进行常规法和改良法的直接对比。至于腺苷脱氨酶(ADA)测定对结核性胸膜炎的诊断价值则尚难肯定,不少报告提示其敏感性高达100%,但ADA 增高亦见于类风湿性
There have been several reports mentioned tuberculous serositis effusion culture method can be improved to improve the positive results, such as the use of ≥ 2 times the chest extract, with 200ml of ascites for culture, bedside collection pericardial effusion direct inoculation Medium, etc., but did not use the same specimen for the direct comparison of the conventional method and the modified method. As adenosine deaminase (ADA) determination of tuberculous pleurisy diagnostic value is difficult to confirm, many reports suggest that its sensitivity up to 100%, but ADA increased also seen in rheumatoid