腹水与血清一氧化氮对肝硬化自发性细菌性腹膜炎的诊断价值

高青; 刘新才; 刘兴; 廖毅; 董临江

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腹水与血清一氧化氮对肝硬化自发性细菌性腹膜炎的诊断价值

更新时间：2024-01-17

- 腹水与血清一氧化氮对肝硬化自发性细菌性腹膜炎的诊断价值
- The value of nitric oxide in ascites and blood in thediagnosis of spontaneous bacterial peritonitis of cirrhosis 
- 重庆医科大学学报 1998年第1期
- 作者机构：
  
  1. 临床学院内科
  2. 重庆急救中心
  3. 深圳市宝安人民医院
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R575.2
- 纸质出版日期：1998，
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[1]高青,刘新才,刘兴,廖毅,董临江.腹水与血清一氧化氮对肝硬化自发性细菌性腹膜炎的诊断价值[J].重庆医科大学学报,1998(01):51-53.

The value of nitric oxide in ascites and blood in thediagnosis of spontaneous bacterial peritonitis of cirrhosis [J]. Journal of Chongqing Medical University, 1998,(1).
[1]高青,刘新才,刘兴,廖毅,董临江.腹水与血清一氧化氮对肝硬化自发性细菌性腹膜炎的诊断价值[J].重庆医科大学学报,1998(01):51-53. DOI：

The value of nitric oxide in ascites and blood in thediagnosis of spontaneous bacterial peritonitis of cirrhosis [J]. Journal of Chongqing Medical University, 1998,(1). DOI：

摘要

采用镀钢镉还原测定沿检测５７倒腹水患者血清和腹水中一氧化氮（ＮＯ）水平，并动态监测其中１９例肝硬化Ｈ发性细菌性腹膜炎（ＳＢＰ）患者治疗前后血和腹水ＮＯ水平及腹水ＮＯ与血ＮＯ比值（ＮＯＡ／ＮＯＢ）变化。结果显示：肝硬化ＳＢＰ漏出性腹水组中，腹水ＮＯ水平和ＮＯＡ／ＮＯＢ值明显高于漏出性腹水组。若以ＮＯＡ／ＮＯＢ≥１．１为阳性判别值，诊断ＳＢＰ的敏感性为８１．５％，特异性为８９．５％。１９例ＳＢＰ患者经抗感染治疗后，腹水ＮＯ水平和ＮＯＡ／ＮＯＢ比值较治疗前明显降低。表明动态监测肝硬化患者腹水与血清ＮＯ水平和二者比值的变化，对肝硬化ＳＢＰ的诊断和预后判断均有一定价值。

Abstract

ln the present study

levels of nitric oxide (NO) in ascites and blood were determined by activated cadminum in 57 patients with ascites. During the treatment

levels of NO in ascites and blood

ratio of NO in ascites and blood (NOA/NOB) of 19 cirrhosis patients with spontaneous bacterial peritonitis (SBP) were consecutively determined. The results showed that the levels of NO in ascites and NOA/NOB in 19 cirrhosis cases with SBP were sigtnificantly higher than those of 38 cases with ascites transudate

and lower significantly after the effcctive antiinfection treatment. With numerical value ≥ 1.1. as positive discrimination ratio

the sensitivity and specificity of NO/NO in detecting SBP of cirrhosis were 81.5 % and 89.5% respectively. lt suggested that determining and monitoring the levels of NO in ascites and blood

and ratio of NOA/NOB could be used to diagnose SBP of cirrhosis and predicate the prognosis.

关键词

一氧化氮肝硬化自发性细菌性腹炎

Keywords

NitricoxidecirrhosisSpontaneous bacterial peritonitis.

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