مقایسه ضابطه پروتئین توتال و اختلاف آلبومین سرم از آلبومین مایع آسیت( گرادیان آلبومین سرم ـ آسیت ) بعنوان تشخیص افتراقی مایع آسیت

&nbsp;&nbsp; &nbsp;&nbsp;A total 97 paired serum & ascites fluid samples from ascitic&nbsp; patients&nbsp; were&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp; collected and&nbsp; analyzed. &nbsp;&nbsp;&nbsp;&nbsp; The&nbsp;&nbsp; utility&nbsp;&nbsp; of&nbsp;&nbsp; the&nbsp;&nbsp;&nbsp;&nbsp; serum - ascites&nbsp;&nbsp; albumin&nbsp; gradient&nbsp; &&nbsp;&nbsp; the&nbsp;&nbsp; exudate&nbsp; &nbsp;&nbsp; transudate concept as defined by ascitic fluid total protein&nbsp;&nbsp; concentration&nbsp;&nbsp; &nbsp;&nbsp; (A.F.T.P) were&nbsp; compared. &nbsp;&nbsp;&nbsp;&nbsp; 46&nbsp; patients&nbsp; were suffering from liver cirrhosis (47.4%) & 43 patients&nbsp; (93.5%)&nbsp; &nbsp;&nbsp; from this group had AFTP < 2.5 g/dl . Albumin gradient in the same&nbsp; patients &nbsp;&nbsp; was > 1.1 g/dl . In 10 patients (100%)&nbsp; with ascites due to&nbsp; malignancy AFTP > &nbsp;&nbsp; 2.5 g/dl ,and in 50% of the patients in this group albumin gradient > 1.1 g/dl &nbsp;&nbsp; and in &nbsp;the &nbsp;rest &nbsp;of &nbsp;&nbsp;the &nbsp;patients &nbsp;(50%) &nbsp;with &nbsp;&nbsp;&nbsp;malignant&nbsp; &nbsp;ascites &nbsp;&nbsp;albumin &nbsp;&nbsp; gradient &nbsp;was < 1.1 g/dl. &nbsp;&nbsp;&nbsp;&nbsp; Only in&nbsp; diagnosis&nbsp;&nbsp; of&nbsp; malignant&nbsp;&nbsp; ascites&nbsp;&nbsp; AFTP&nbsp; was&nbsp; preferred to albumin&nbsp; &nbsp;&nbsp; gradient&nbsp; &nbsp;in &nbsp;our &nbsp;research &nbsp;but &nbsp;in &nbsp;other &nbsp;&nbsp;cases &nbsp;it &nbsp;was &nbsp;not &nbsp;any &nbsp;superiority &nbsp; &nbsp;between the tow concepts.