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犬类肝脏疾病研究中的血清酶测定

Serum enzyme determination in the study of liver disease in dogs.

作者信息

Abdelkader S V, Hauge J G

出版信息

Acta Vet Scand. 1986;27(1):59-70. doi: 10.1186/BF03548559.

Abstract

Glutamate dehydrogenase (GLDH), sorbitol dehydrogenase (SDH), 5'-nucIeotidase (5'-ND) and cholin esterase (CHE) were determined in the sera of 37 dogs with various liver diseases. The values for these parameters were compared with the values for aspartate and alanin aminotransferase (ASAT, ALAT), alkaline phosphatase (ALP), γ-glutamyl transferase γ and albumin (ALB). GLDH was found to be the most sensitive enzyme parameter (sensitivity 92 %), its values also reflecting the degree of liver cell necrosis well. Next in sensitivity followed ASAT and ALP. SDH values were correlated to ALAT values but had a low sensitivity (43 %). 5'-ND discriminated markedly better between biliary tract disturbance and other lesions than ALP and somewhat better than γ-GT. CHE had a wide reference range, low sensitivity, and was not correlated to ALB. Single determinations of CHE may thus not be of diagnostic value in dogs.

摘要

对37只患有各种肝脏疾病的犬的血清进行了谷氨酸脱氢酶(GLDH)、山梨醇脱氢酶(SDH)、5'-核苷酸酶(5'-ND)和胆碱酯酶(CHE)的检测。将这些参数的值与天冬氨酸和丙氨酸转氨酶(ASAT、ALAT)、碱性磷酸酶(ALP)、γ-谷氨酰转移酶γ和白蛋白(ALB)的值进行了比较。发现GLDH是最敏感的酶参数(敏感性92%),其值也能很好地反映肝细胞坏死程度。敏感性其次的是ASAT和ALP。SDH值与ALAT值相关,但敏感性较低(43%)。5'-ND在鉴别胆道疾病和其他病变方面比ALP明显更好,比γ-GT稍好。CHE的参考范围宽、敏感性低,且与ALB不相关。因此,单次测定CHE对犬可能没有诊断价值。

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本文引用的文献

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Serum cholinesterase in health and disease.健康与疾病状态下的血清胆碱酯酶
Am J Med. 1953 Jun;14(6):707-19. doi: 10.1016/0002-9343(53)90390-8.
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Laboratory diagnosis of hepatic disease.
Vet Clin North Am. 1976 Nov;6(4):679-86. doi: 10.1016/s0091-0279(76)50089-x.

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