CAJ | 학술논문

目的：探讨血清及胸液C-反应蛋白( CRP)对类肺炎性胸腔积液、结核性胸腔积液和癌性胸腔积液的价值。方法选取胸腔积液患者80例，其中类肺炎性胸腔积液35例，结核性胸腔积液13例，恶性胸腔积液32例，比较所有患者血清和胸液中CRP的测量值。结果类肺炎性胸腔积液血清及胸液中CRP含量显著高于结核性胸腔积液，差异有统计学意义(P<0．05)；结核性胸腔积液血清及胸液中CRP含量显著高于癌性胸腔积液，差异有统计学意义( P<0．05)。结论血清和胸液中CRP对胸腔积液病因诊断具有一定的临床价值；可以作为良恶性胸腔积液鉴别诊断的参考指标。
목적：탐토혈청급흉액C-반응단백( CRP)대류폐염성흉강적액、결핵성흉강적액화암성흉강적액적개치。방법선취흉강적액환자80례，기중류폐염성흉강적액35례，결핵성흉강적액13례，악성흉강적액32례，비교소유환자혈청화흉액중CRP적측량치。결과류폐염성흉강적액혈청급흉액중CRP함량현저고우결핵성흉강적액，차이유통계학의의(P<0．05)；결핵성흉강적액혈청급흉액중CRP함량현저고우암성흉강적액，차이유통계학의의( P<0．05)。결론혈청화흉액중CRP대흉강적액병인진단구유일정적림상개치；가이작위량악성흉강적액감별진단적삼고지표。
Objective To study the diagnostic value of combined detection of C-reactive protein ( CRP) in both serum and pleural effusion in the diagnosis of parapneumonic effusion, tuberculosis pleuritis and malignant pleu-ral effusion. Methods The study selected 80 patients with pleural effusion to detect and compare the results of CRP in serum and pleural effusion, including 35 patients with parapneumonic effusion, 13 patients with tuberculosis pleu-ritis, and 32 patients with malignant pleural effusions. Results The levels of CRP in serum and pleural effusion were significantly higher in parapneumonic effusion than in tuberculosis pleuritis (P<0. 05), and they were signifi-cantly higher in tuberculosis pleuritis in malignant pleural effusion ( P<0. 05 ) . Conclusion The combined detec-tion of CRP in serum and pleural effusion has great diagnostic value and can be an useful indicator in the differential diagnosis of benign and malignant pleural effusion.