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[系统性红斑狼疮合并白细胞减少症患者中性粒细胞中与氧依赖性代谢相关的临床参数]

[Clinical patameters associated with oxygen-dependent metabolism in neutrophils in patients with systemic lupus erythematosus and leukocytopenia].

作者信息

Matiukha M T

出版信息

Lik Sprava. 2000 Sep(6):24-9.

Abstract

The article presents results of examination designed to study parameters characterizing the peripheral blood neutrophils functional activity in leukocytopenia in patients with diffusive disorders of the connective tissue (systemic lupus erythematosus and rheumatoid arthritis), with the above values having come to be used in the assessment of severity of the course, differential diagnosis of complications, and prognostication of the condition. Such cytochemical indices as activity of myeloperoxidase, amounts of cationic proteins, capability of neutrophils to reduce nitroblue tetrazolium to diphormazine (NBT-test) are considered to be of much informative value which have come to be widely used in the diagnosis and prognosis of a great many of various medical problems. Defects in neutrophils are shown, disturbances are pointed out in their functional activity evidenced by the decline in their capability of reducing NBT. Poststimulation metabolic activity is but inadequately increased as compared to results in the control group. Of practical value is screening of patients presenting with low values for the functional reserve of heterophilic leucocytes, the purpose of which screening being early prognostication of the course of pyo-inflammatory complications.

摘要

本文介绍了一项检查结果,该检查旨在研究表征结缔组织弥漫性疾病(系统性红斑狼疮和类风湿性关节炎)患者白细胞减少症中外周血中性粒细胞功能活性的参数,上述数值已用于评估病程严重程度、并发症的鉴别诊断以及病情的预后。诸如髓过氧化物酶活性、阳离子蛋白量、中性粒细胞将硝基蓝四氮唑还原为双甲臜的能力(NBT试验)等细胞化学指标被认为具有很大的信息价值,已广泛用于许多各种医学问题的诊断和预后。研究显示中性粒细胞存在缺陷,指出其功能活性存在障碍,这表现为它们还原NBT的能力下降。与对照组结果相比,刺激后代谢活性增加不足。对嗜异性白细胞功能储备值较低的患者进行筛查具有实际价值,该筛查的目的是对脓性炎症并发症的病程进行早期预后评估。

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