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[伤寒感染中的功能-代谢紊乱]

[Fuctional-metabolic disorders in typhoid infection].

作者信息

Dragomirescu M, Dragomirescu L, Stănescu-Lupu D, Novac E, Marţincu V, Rocsin M

出版信息

Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Bacteriol Virusol Parazitol Epidemiol. 1976 Apr-Jun;21(2):95-8.

PMID:134447
Abstract

The complex biologic investigation of thyphoid fever is dictated by the necessity of instituting a pathogenetic therapy, especially in the toxic and complex forms. Performing 178 fuctional-metabolic tests in 50 cases of typhoid fever (of which 10 severe and complicated forms), the authors established the prognostic value energy deficiency (approximately P), lactate, alkaline reserve and GPT. Azotemia is only characteristic in the forms with renal involvement, and the other transaminases may be positive even whe the liver is not enlarged. In one case of repeated digestive hemorrhage no evidence could be found of the mechanism of consumption coagulopathy.

摘要

伤寒热的复杂生物学研究是由开展病因治疗的必要性所决定的,尤其是在中毒型和复杂型病例中。作者对50例伤寒热患者(其中10例为重症和复杂型)进行了178项功能代谢测试,确定了能量缺乏(约P)、乳酸、碱储备和谷丙转氨酶的预后价值。氮血症仅在有肾脏受累的类型中具有特征性,即使肝脏未肿大,其他转氨酶也可能呈阳性。在1例反复消化道出血的病例中,未发现消耗性凝血病的机制证据。

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