http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
간장 및 담도 : 복수의 감별진단으로서 혈청과 복수의 알부민 농도차의 진단적 가치
민영일(Young Il Min),박충기(Choong Kee Park),방익수(Ik Soo Bang),장린(Rin Chang),장영운(Young Woon Chang),김양학(Hak yang Kim),박종은(Jong Eun Park) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A Serum-ascites albumin concentration gradient, a parameter of oncotic pressure gradient reflecting presence of portal hypertension, was compared with the usual parameters of ascitic fluid analysis in the differential diagnosis of ascites. We evaluated 29 ascitic patients with liver disease and 21 patients with malignant neoplasm. 1) The group with malignant neoplasm showed higher ascitic fluid total protein level (2.72+-1.10 vs l.39+-0.87 gm/dl), ascites to serum ratio of total protein level(0.83%+-0.17%,0.23%+-0.13%), ascitic fluid LDH level(124.3+-118.2 vs 80.1+-67.OU/L), ascites to serum ratio of LDH level(0.33+-0.19vs0.26+-0.11) and lower serum-ascites albumia gradient(1.42+-0.41 vs2.56+-0.49) (p<0. 005). 2) The serumascites albumin gradient was less frequently overlapped between the two groups than the other 4 parameters. 3) The predictive value of the serum-ascites albumin gradient was significantly higher than the other parameters. we conclude that the serum-ascites albumin gradient offers the best diagnostic discrimination between ascites caused by liver disease and ascites caused by a neoplasm.