[Comparison of 2 methemalbumin measurements and of free hemoglobin in view of their value in the differential diagnosis of edematous and hemorrhagic pancreatitis].

H Bosseckert, E Günther, E Striehn, B Felsch, M Erler, B Sallen
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引用次数: 0

Abstract

Methemalbumin was estimated by means of electrophoresis and the method of Walberg, respectively in 59 patients (25 pat. with edematous, 34 patients with hemorrhagic pancreatitis) partially over three days. In addition the estimation of free hemoglobin in ascites has been carried out. By both approaches of methemalbumin estimation there was no differentiation of the two pancreatitis forms possible. Though the method of Walberg was much more sensitive especially in the serum its specificity was correspondingly lower. The tendency to a correlation of the methemalbumin-concentration to the severity of the course of the disease could be observed. Such a correlation has been proved statistically for the free hemoglobin.

两种甲氧白蛋白与游离血红蛋白的比较及其在水肿性和出血性胰腺炎鉴别诊断中的价值。
59例患者(25例)分别采用电泳法和Walberg法测定甲氧白蛋白。伴有水肿,34例出现出血性胰腺炎,部分超过3天。此外,还对腹水中的游离血红蛋白进行了估计。两种方法的甲氧白蛋白估计没有区分两种胰腺炎形式的可能。Walberg法虽然灵敏度高,特别是在血清中,但其特异性相对较低。可以观察到甲白蛋白浓度与病程严重程度的相关性趋势。这种相关性在游离血红蛋白中已得到统计学证明。
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