Shesterina M V
Probl Tuberk. 1989(5):28-32.
Local protection in patients with complicated tuberculosis was investigated. The bronchoalveolar lavage fluid (BALF) was tested for the levels of IgA, sIgA, IgM, IgG, lysozyme, activity of granulocyte proteinases (elastase and trypsin-like proteinases) and their acid-fast inhibitors, ability to produce interferons by the BALF cells, the BALF cell composition and functional activity of alveolar macrophages. The local protection was shown to be decreased in the patients with nonspecific inflammatory processes in the bronchi. The decrease was especially pronounced in the patients with purulent endobronchitis. The data indicated the necessity of using immunocorrectors in combined therapy of such patients.
对复杂型肺结核患者的局部保护情况进行了研究。检测支气管肺泡灌洗液(BALF)中的IgA、sIgA、IgM、IgG、溶菌酶水平、粒细胞蛋白酶(弹性蛋白酶和类胰蛋白酶)活性及其抗酸抑制剂、BALF细胞产生干扰素的能力、BALF细胞组成以及肺泡巨噬细胞的功能活性。结果显示,支气管存在非特异性炎症过程的患者局部保护作用降低。在脓性细支气管炎患者中这种降低尤为明显。数据表明在这类患者的联合治疗中使用免疫调节剂的必要性。