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[急性和慢性肝病中的脂蛋白模式(作者译)]

[Lipoprotein pattern in acute and chronic liver disease (author's transl)].

作者信息

Vogt N, Englhardt A

出版信息

Dtsch Med Wochenschr. 1975 Oct 17;100(42):2156-60. doi: 10.1055/s-0028-1106515.

Abstract

Lipoprotein electrophoresis with measurement of serum lipids was performed on 115 patients with various forms of liver disease. There was a reduction in alpha-lipoproteins and an increase in beta-lipoproteins, as well as a reduced separability of pre-beta and beta fractions in those with acute viral hepatitis. All these changes regressed completely with healing. Similar changes were shown also in chronic liver disease and were most marked in acute liver failure, but also marked in decompensated liver cirrhosis and chronic progressive hepatitis, while less marked in chronic persistent hepatitis and compensated liver cirrhosis. In patients with fatty livers there were no characteristic findings other than a slight increase in pre-beta lipoproteins. On the other hand, the lipoprotein pattern was markedly changed in cases with tumour in the region of the gallbladder, but similar changes were noted also with tumours at other sites. They are, therfore, unlikely to be liver-specific.

摘要

对115例各种类型肝病患者进行了脂蛋白电泳及血脂测定。急性病毒性肝炎患者的α脂蛋白减少,β脂蛋白增加,前β与β组分的分离度降低。随着病情好转,所有这些变化完全消退。慢性肝病患者也出现了类似变化,在急性肝衰竭中最为明显,但在失代偿期肝硬化和慢性进行性肝炎中也很明显,而在慢性持续性肝炎和代偿期肝硬化中则不太明显。脂肪肝患者除前β脂蛋白略有增加外,无特征性表现。另一方面,胆囊区域有肿瘤的病例脂蛋白模式明显改变,但其他部位有肿瘤时也观察到类似变化。因此,它们不太可能是肝脏特异性的。

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