Metzner M, Horber J, Rademacher G, Klee W
Clinic for Ruminants, Faculty of Veterinary Medicine, Ludwig-Maximilians-University of Munich, Germany.
J Vet Med A Physiol Pathol Clin Med. 2007 Nov;54(9):449-54. doi: 10.1111/j.1439-0442.2007.00939.x.
In a cohort study involving 62 cows from an experimental farm, the kinetics of the glutaraldehyde test (GAT) according to Sandholm (1974) was examined by testing samples of EDTA blood, lithium heparinate blood, serum, and plasma taken at various intervals. Total protein was measured in serum, and fibrinogen was determined in plasma. Gamma globulin was measured by electrophoresis. All glutaraldehyde tests were performed in duplicates, and the relation of the two results was used as measurement of precision. Optimal cut-off of the GAT time was determined as the zenith of the sum of sensitivity and specificity of various intervals for detecting combinations of gamma globulin and fibrinogen levels above 32 g/l. Precision was the best in EDTA blood. The relation between coagulation time and gamma globulin plus fibrinogen is best described by an exponential curve. The maximum value for the sum of sensitivity and specificity was found at 7 and 8 min. Seven days was the shortest interval observed between a negative test result (>15 min) and a strongly positive test result (<3 min). Twenty-one days was the shortest interval observed between a strongly positive test result and a negative test result. EDTA blood should be used for the GAT. A cut-off of 8 min yields the highest efficiency. Test results must be viewed in light of clinical findings.
在一项涉及来自实验农场的62头奶牛的队列研究中,通过检测在不同时间间隔采集的乙二胺四乙酸(EDTA)抗凝血、肝素锂抗凝血、血清和血浆样本,研究了根据桑德霍尔姆(1974年)方法进行的戊二醛试验(GAT)的动力学。测定血清中的总蛋白,并测定血浆中的纤维蛋白原。通过电泳测定γ球蛋白。所有戊二醛试验均重复进行两次,并将两个结果的关系用作精密度的衡量指标。将GAT时间的最佳截断值确定为检测γ球蛋白和纤维蛋白原水平高于32 g/l的各种时间间隔的敏感性和特异性总和的最高点。在EDTA抗凝血中精密度最佳。凝血时间与γ球蛋白加纤维蛋白原之间的关系最好用指数曲线来描述。敏感性和特异性总和的最大值出现在7分钟和8分钟时。在阴性试验结果(>15分钟)和强阳性试验结果(<3分钟)之间观察到的最短间隔为7天。在强阳性试验结果和阴性试验结果之间观察到的最短间隔为21天。GAT应使用EDTA抗凝血。8分钟的截断值产生最高效率。必须结合临床发现来查看试验结果。