SERUM LACTATE-DEHYDROGENASE (LDH) IN PNEUMOCYSTIS-CARINII PNEUMONIA, TUBERCULOSIS, AND BACTERIAL PNEUMONIA

SERUM LACTATE-DEHYDROGENASE (LDH) IN PNEUMOCYSTIS-CARINII PNEUMONIA, TUBERCULOSIS, AND BACTERIAL PNEUMONIA
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DOI:
10.1378/chest.108.2.415
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发表时间:
1995-08-01
期刊:
影响因子:
9.6
通讯作者:
HILL, AR
HILL, AR
中科院分区:
医学1区
文献类型:
--
作者:
QUIST, J;HILL, AR

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血清乳酸脱氢酶(LDH)活性升高通常被用来支持卡氏肺孢子虫肺炎(PCP)的推定诊断,尽管LDH水平在其他肺部感染和各种肺外疾病中也可能升高,为了评价其对发热、肺浸润性疾病和HIV感染高发患者的诊断价值,我们比较了42例PCP住院患者、71例播散性肺结核(TB)、40例肺结核和37例细菌性肺炎患者的LDH水平,结果表明,LDH峰值较高(P<0.05)。
An increase in serum lactate dehydrogenase (LDH) activity is commonly taken to support the presumptive diagnosis of Pneumocystis carinii pneumonia (PCP), although the LDH level may also be increased in other lung infections and in a variety of extrapulmonary disorders, To assess its diagnostic value in patients with fever, lung infiltrates, and a high prevalence of HIV infection, we compared LDH levels in 42 hospitalized patients with PCP, 71 with disseminated tuberculosis (TB), 40 with pulmonary TB, and 37 with bacterial pneumonia, Peak LDH level was higher (p