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摘要: [目的]探讨血清-腹水蛋白梯度(SAAG)在腹水病因诊断中的价值。[方法]将入诊的80例腹水患者,按腹水形成机制分为门脉高压组(42例)和非门脉高压组(38例),以同天采样同步检查的血清白蛋白浓度和腹水白蛋白浓度计算SAAG,比较2组SAAG与诊断的关系。[结果]门脉高压组的SAAG显著高于非门脉高压组(P<0.01)。[结论]SAAG对诊断腹水有重要价值,但不能完全代替其他检查方法,有时还需要联合监测以提高腹水诊断率。Abstract: [Objective] To explore the value of serum ascites albumin gradient(SAAG)in the etiological diagnosis of ascites.[Methods] We retrospectively analyzed 80 outpatients and inpatients with ascites and divided them into portal hypertension related ascites group(42 cases)and non-portal hypertension related ascites group(38 cases),calculated the SAAG through the concentration of serum albumin and ascitic albumin taken at the same day,comparing the relationship between diagnosis and SAAG of the two groups.[Results] SAAG of the portal hypertension group was significantly higher than the non-portal hypertension group(P<0.01).[Conclusion] SAAG is valuable for the diagnosis of portal hypertension ascites and non-portal hypertension ascites,however,it cannot completely replace other inspection methods.It is necessary to improve the ascites diagnosis rate together with other inspection methods.
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Key words:
- ascites /
- serum ascites albumin gradient /
- diagnosis
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[1] HOEFS J C.Serum protein concentration and portal pressure determine the ascites fluid protein concentration in patients with chronic liver disease[J].J Lab Clin Med,1983,102:260-273.
[2] RECTOR W G.REYNOLD T B.Superiority of serumascites albumindifference over the ascites total protein concentration in separation of transudative and exudative ascites[J].Am J Med,1984,77:83-85.
[3] RUNYON B A,MONTANO A A,AKRIVIADIS E A,et al.The serum ascites albumin gradient is superior to exudate-transudate concept in the differential diagnosis of ascites[J].Ann Intem Med,1992,117:215-220.
[4] 伊妮.白蛋白梯度在鉴别渗出液与漏出液中的价值[J].中国实验诊断学,2011,5(5):259-260.
[5] 曾欣,林勇,谢渭芬.肝硬化腹水的处理[J].中华消化杂志,2005,25(12):757-759.
[6] 任孟军,蒋小娅,文静.肝硬化合并不典型结核性腹膜炎[J].中华消化杂志,2010,30(4):281-281.
[7] 王一平,曾欣,施斌,等.肿瘤标记物和血清腹水白蛋白梯度在恶性腹水中的诊断价值[J].中华消化杂志,2009,29(7):444-445.
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