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急性呼吸道疾病婴儿免疫球蛋白值纵向测定的临床意义

Clinical signifcans of longitudinal determination of immunoglobulin values in infants with acut respiratory diseases.

作者信息

Kikindjanin V

出版信息

Allerg Immunol (Leipz). 1977;23(4):273-80.

PMID:147616
Abstract

The immunoglobulin values (IgM, IgA, IgG) were determined longitudinally in 73 infant with acute obstructive bronchitis; with acute obstructive bronchitis associated with bronchopneumonia; with bronchopneumonia. The immunoglobulin values were determined by single radial immunodiffusion method. The comparison of time of clinical recovery and x-ray clearing on the one hand and the normalisation of immunoglobulin values on the other hand was done too. It was found that the high immunoglobulin values were maintained after the clinical recovery and x-ray clearing the longest period of time in infants with acut obstructive bronchitis. In infants with acute obstructive bronchitis associated with bronchopneumonia the high immunoglobulin values were maintained very long but they were normalised on the 34-30th day of clinical recovery and x-ray clearing. In infants with bronchopneumonia the high immunoglobulin values were maintain considerably shorter and they were normalised on the 6th day after the clinical recovery. Whit regard to different time of normalisation of immunoglobulin values in infants with acute obstructive bronchitis associated with bronchopneumonia it was concluded that the longitudinal determination of immunoglobulin values has clinical significance since it can be found which of these two diseases is dominant.

摘要

对73例患有急性阻塞性支气管炎、伴有支气管肺炎的急性阻塞性支气管炎以及支气管肺炎的婴儿进行了免疫球蛋白值(IgM、IgA、IgG)的纵向测定。免疫球蛋白值采用单向放射免疫扩散法测定。同时还比较了临床恢复时间和X线阴影消散时间与免疫球蛋白值恢复正常的情况。结果发现,急性阻塞性支气管炎婴儿在临床恢复和X线阴影消散后,高免疫球蛋白值维持的时间最长。伴有支气管肺炎的急性阻塞性支气管炎婴儿,高免疫球蛋白值维持的时间也很长,但在临床恢复和X线阴影消散后的第34 - 30天恢复正常。支气管肺炎婴儿的高免疫球蛋白值维持的时间明显较短,在临床恢复后的第6天恢复正常。关于伴有支气管肺炎的急性阻塞性支气管炎婴儿免疫球蛋白值恢复正常的不同时间,得出结论:免疫球蛋白值的纵向测定具有临床意义,因为可以据此发现这两种疾病中哪种占主导。

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