CAJ | 학술논문

探讨自发性细菌性腹膜炎（SBP）患者腹水中李凡他试验阴性的形成原因。方法采用SIE-MENS BNP型特定蛋白仪检测慢性肝炎、肝硬化患者血清中α1-酸性糖蛋白（AAG）浓度，同时检测李凡他试验阴性的SBP患者腹水中AAG浓度并进行白细胞计数。结果慢性肝病患者随着病情进展，血清中AAG浓度逐渐下降；李凡他试验阴性的SBP患者腹水中AAG浓度显著降低，但与腹水中白细胞数量无相关性。结论 SBP患者腹水中李凡他试验阴性的形成原因与肝脏的合成能力有关，而与腹水中白细胞计数的高低关系不大。
탐토자발성세균성복막염（SBP）환자복수중리범타시험음성적형성원인。방법채용SIE-MENS BNP형특정단백의검측만성간염、간경화환자혈청중α1-산성당단백（AAG）농도，동시검측리범타시험음성적SBP환자복수중AAG농도병진행백세포계수。결과만성간병환자수착병정진전，혈청중AAG농도축점하강；리범타시험음성적SBP환자복수중AAG농도현저강저，단여복수중백세포수량무상관성。결론 SBP환자복수중리범타시험음성적형성원인여간장적합성능력유관，이여복수중백세포계수적고저관계불대。
Objective To investigate the cause of negative Rivalta test of ascites in patients with spontaneous bacterial peritonitis (SBP) .Methods Serum levels of α1‐acid glycoprotein (AAG) were detected in patients with chronic hepatitis or liver cirrhosis .Levels of AAG and white blood cells (WBC) in ascites of SBP patients with nega‐tive Rivalta test of ascites were also detected .Results Serum concentration of AAG gradually decreased in patients with the progress of disease condition of patients with chronic liver diseases .Ascites concentration of AAG signifi‐cantly decreased in SBP patients with negative Rivalta test of ascites ,but was not correlated with levels of WBC .Con‐clusion The negative Rivalta test of ascites in SBP patients might be caused by the deceasing of liver synthetic abili‐ty ,but might not be correlated with ascites levels of WBC .