Etiology of ascites and the diagnostic value of serum-ascites albumin gradient in non-alcohol liver disease
Etiology of ascites and the diagnostic value of serum-ascites albumin gradient in non-alcohol liver disease
复制标题
DOI：
10.5144/0256-4947.1997.26
复制
发表时间：
1997-01-01
影响因子：
1.6
通讯作者：
AlKnawy, BA
中科院分区：
文献类型：
--
作者：
AlKnawy, BA
本研究旨在确定沙特阿拉伯南部非酒精性肝病腹水患者腹水的不同病因和血清-腹水白蛋白梯度（SAAG）的诊断价值。共研究了132例腹水患者（96例男性和36例女性，平均年龄58.8 ± 15.9岁）的不同腹水原因。在55例肝病患者和22例非肝病患者（恶性肿瘤和腹膜结核）中，我们将SAAG与腹水生化分析中用于腹水鉴别诊断的三个常用参数进行了比较。非肝病组腹水总蛋白（aTP）浓度高于非肝病组（4.77 +/- 2.05 vs 1.98 +/- 1.56 g/dL），腹水与血清总蛋白浓度比值（a/sTP）（0.75 +/- 0.43对比0.26 +/- 0.19），腹水乳酸脱氢酶（aLDH）水平（565.4 +/- 353.4 vs 254.1 +/- 205.03 U/L）和较低的SAAG（0.6 +/- 0.30 vs 1.71 +/- 0.61）。P
This study was designed to determine the different etiologies of ascites and the diagnostic value of serum-ascites albumin gradient (SAAG) in patients with ascites of non-alcoholic liver disease in Southern Saudi Arabia. A total of 132 patients with ascites (96 males and 36 females, mean age 58.8 +/- 15.9 years) were studied for the different causes of ascites. In 55 patients with liver disease and 22 patients with nonliver disease (malignancy and peritoneal tuberculosis), we compared SAAG with the three usual parameters of ascitic fluid biochemical analysis used in the differential diagnoses of ascites. The nonliver disease group showed higher ascitic fluid total protein (aTP) concentration (4.77 +/- 2.05 versus 1.98 +/- 1.56 g/dL), ascitic to serum ratio of total protein (a/sTP) concentration (0.75 +/- 0.43 versus 0.26 +/- 0.19), ascitic fluid lactic dehydrogenase (aLDH) level (565.4 +/- 353.4 versus 254.1 +/- 205.03 U/L) and a lower SAAG (0.6 +/- 0.30 versus 1.71 +/- 0.61). P