Yin Cheng-hong, Wang Chao, Wen Yan, Jiang Li, Liu Ying, Chen Jiang-hong, Tang Shu-zhen, Yue Mao-xing, He Zheng-yi, Zhang Shu-wen, Wang Bao-en
Beijing Friendship Hospital Affiliated to Capital University of Medical Sciences, Beijing 100050, China.
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2005 Jun;17(6):335-7.
To investigate the serum immunological characteristics in patients convalescent from severe acute respiratory syndrome (SARS).
In the 1 st, 3 rd, 6 th month after their discharge, eg. SARS-IgG, T cell subsets, blood routine, and the blood biochemistry were systemically determined in SARS convalescent patients.
The SARS-antibodies could be used as the diagnostic evidence. During the 6 months after discharge, the titers of SARS-antibodies were high, but they lowered along with passage of time. At the first recheck, the CD4(+) lymphocyte count was lower than normal level in 55.9% of patients, the CD3(+) lymphocyte count was lower than normal level in 31.2% of patients, and the CD8(+) lymphocyte count was lower than normal level in 14.0% of patients. At the second recheck, the levels of T cell subsets recovered to normal level in the most patients.
T cell subsets, and the number of leukocyte are abnormal in some patients convalescent from SARS. All the indexes examined recover to normal levels half year after discharge. Therefore, it is necessary to follow up the changes in the levels of SARS-antibodies.
研究严重急性呼吸综合征(SARS)康复患者的血清免疫学特征。
在SARS康复患者出院后的第1、3、6个月,系统检测其SARS-IgG、T细胞亚群、血常规及血液生化指标。
SARS抗体可作为诊断依据。出院后6个月内,SARS抗体滴度较高,但随时间推移而降低。首次复查时,55.9%的患者CD4(+)淋巴细胞计数低于正常水平,31.2%的患者CD3(+)淋巴细胞计数低于正常水平,14.0%的患者CD8(+)淋巴细胞计数低于正常水平。第二次复查时,大多数患者的T细胞亚群水平恢复正常。
部分SARS康复患者存在T细胞亚群及白细胞数量异常。出院半年后所有检测指标均恢复正常水平。因此,有必要对SARS抗体水平的变化进行随访。