호흡기 결핵 환자에서 임상 검사의 유용성

Abstract

To find out the effectiveness of clinical examination for the diagnosis of respiratory tuberculosis, a 78 respiratory tuberculosis patient,s group was matched by sex and age with 78 control healthy subjects. In the result of blood chemistry, mean values of 123.5 ± 62.04 mg/dL in glucose, 429.01 ± 150.77 IU/L in LDH, and 44.51 ± 43.76 IU/L in γ-GTP, were higher than that of the controls (healthy subjects), and 3.51 ± 0.68 mg/dL in albumin was lower than that of the controls. In the result of the haematology examination, mean values of 12.52 ± 3.27 g/dL in hemoglobin, 36.72 ± 7.28% in hematocrit, and 24.61 ± 12.36% in lymphocyte, were lower than that of the controls, 9.23 ± 5.25% in monocyte 78.30 ± 37.35 mm/hr in ESR, and 48.45 ± 35.15 U/L in ADA were higher than that of the controls. For the comparisons of the tuberculosis patients values from normal reference values, 22.2% in glucose, 22.4% in LDH, 25.0% in γ-GTP, 35.4% in albumin, 88% in ESR, and 88.6% in ADA, showed abnormal values. We concluded that the values of glucose, γ -GTP, albumin, WBC, RBC, hemoglobin, hematocrit, lymphocyte, monocyte, ADA, and the ESR were useful in tuberculosis diagnosis.