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흉수분석에 의한 질병의 감별진단

DC Field Value Language
dc.contributor.author고원기-
dc.contributor.author김성규-
dc.contributor.author김영삼-
dc.contributor.author박무석-
dc.contributor.author양동규-
dc.contributor.author유내춘-
dc.contributor.author이준구-
dc.contributor.author정재호-
dc.contributor.author안철민-
dc.date.accessioned2016-02-19T10:53:12Z-
dc.date.available2016-02-19T10:53:12Z-
dc.date.issued2001-
dc.identifier.issn0378-006-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/141920-
dc.description.abstractBackground: Pleural effusion is one of most common clinical mainifestations associated with a variety of pulmonary disease such as malignancy, tuberculosis, and pneumonia. However, there are no useful laboratory tests to determine the specific cause of pleural effusion. Therefore, an attempt was made to analyze the various types of pleural effusion and search for useful laboratory tests for pleural effusion in order to differentiate between the disease, especially between a malignant pleural effusion and a non-malignant pleural effusion. Methods: 93 patients with a pleural effusion, who visited the Severance hospital from January 1998 to August 1999, were enrolled in this study. Ultrasound-guided thoracentesis was done and a confirmational diagnosis was made by a gram stain, bacterial culture, Ziehl-Neelsen stain, a mycobacterial culture, a pleural biopsy and cytology. Results: The male to female ratio was 56:37 and the average age was 47.1±21.8 years. There were 16 cases with a malignant effusion, 12 cases with a para-malignant effusion, 36 cases with tuberculosis, 22 cases with a para-pneumonic effusion, and 7 cases with transudate. The LDH2 fraction was significantly higher in the para-malignant effusion group compared to the para-pneumonic effusion group [30.6±64.% and 20.2±7.5%, respectively (p<0.05)] and both the LDH and LDH2 fraction was significantly in the para-malignant effusion group compared to those with tuberculosis [16.4±7.2% vs. 7.6±4.7%, and 30.6±6.4% vs. 17.6±6.3% respectively (p<0.05)]. The pleural effusion/serum LDH4 fraction ratio was significantly lower in the malignant effusion group compared to those with tuberculosis [1.5±0.8 vs. 2.1±0.6, respectively (p<0.05)]. The LDH4 fraction and the pleural effusion/serum LDH4 fraction ratio was significantly lower in the para-malignant effusion group compared to those with tuberculosis [17.0±5.8% vs. 23.5±4.6% and 1.3±0.4 vs. 2.1±0.6, respectively(p<0.05)]. Conclusion: These results suggest that the LDH isoenzyme was the only useful biochemical test for a differential diagnosis of the various disease. In particular, the most useful test was the pleural effusion/serum LDH4 fraction ratio to distinguish between a para-malignant effusion and a tuberculous effusion.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.relation.isPartOfTUBERCULOSIS AND RESPIRATORY DISEASES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title흉수분석에 의한 질병의 감별진단-
dc.title.alternativeDifferential Diagnosis By Analysis of Pleural Effusion-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthor고원기-
dc.contributor.googleauthor이준구-
dc.contributor.googleauthor정재호-
dc.contributor.googleauthor박무석-
dc.contributor.googleauthor정낙영-
dc.contributor.googleauthor김영삼-
dc.contributor.googleauthor양동규-
dc.contributor.googleauthor유내춘-
dc.contributor.googleauthor안철민-
dc.contributor.googleauthor김성규-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00131-
dc.contributor.localIdA00564-
dc.contributor.localIdA00707-
dc.contributor.localIdA01457-
dc.contributor.localIdA02269-
dc.contributor.localIdA02284-
dc.contributor.localIdA02457-
dc.contributor.localIdA03173-
dc.contributor.localIdA03716-
dc.relation.journalcodeJ02762-
dc.subject.keywordPleural effusion-
dc.subject.keywordDifferential diagnosis-
dc.subject.keywordTuberculosis-
dc.subject.keywordMalignancy-
dc.subject.keywordPneumonia-
dc.contributor.alternativeNameKo, Won Ki-
dc.contributor.alternativeNameKim, Sung Kyu-
dc.contributor.alternativeNameKim, Young Sam-
dc.contributor.alternativeNamePark, Moo Suk-
dc.contributor.alternativeNameAhn, Chul Min-
dc.contributor.alternativeNameYang, Dong Gyoo-
dc.contributor.alternativeNameYoo, Nae Choon-
dc.contributor.alternativeNameLee, Jun Gu-
dc.contributor.alternativeNameChung, Jae Ho-
dc.contributor.affiliatedAuthorKo, Won Ki-
dc.contributor.affiliatedAuthorKim, Sung Kyu-
dc.contributor.affiliatedAuthorKim, Young Sam-
dc.contributor.affiliatedAuthorPark, Moo Suk-
dc.contributor.affiliatedAuthorAhn, Chul Min-
dc.contributor.affiliatedAuthorYang, Dong Gyoo-
dc.contributor.affiliatedAuthorYoo, Nae Choon-
dc.contributor.affiliatedAuthorLee, Jun Gu-
dc.contributor.affiliatedAuthorChung, Jae Ho-
dc.rights.accessRightsfree-
dc.citation.volume51-
dc.citation.number6-
dc.citation.startPage559-
dc.citation.endPage569-
dc.identifier.bibliographicCitationTUBERCULOSIS AND RESPIRATORY DISEASES, Vol.51(6) : 559-569, 2001-
dc.identifier.rimsid35856-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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