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[用于实验性急性肝坏死诊断的血清酶]

[Serum enzymes for the diagnosis of experimental acute hepatic necrosis].

作者信息

Chalifoux A, Lagacé A

出版信息

Can J Comp Med. 1969 Jul;33(3):178-86.

Abstract

The activity of certain serum enzymes ornithine carbamyl transferase (OCT), serum isocitric dehydrogenase (SIC-D), total serum lactic dehydrogenase (LDH) and its isoenzymes (LD and LD) was evaluated as a mean of assessing experimental hepatic necrosis on dogs treated with CCl. Measurement of activity levels of these enzymes, seldom carried out in veterinary clinical pathology, was made together with tests commonly used in our laboratories: serum glutamic pyruvic transaminase (SGPT), serum glutamic oxalacetic transaminase (SGOT) and serum alkaline phosphatase (SAP), cholesterol, bilirubin and prothrombin time. Measurement of the level of OCT was useful in the diagnosis of liver necrosis. The SIC-D level was important during the first four days of the experiment, but on subsequent days, the enzymatic activity was practically normal. Because of the wide variations of LDH serum levels in normal animals and since many factors influence its activity, the measurement of this enzyme and its isoenzymes was not a good index in the diagnosis of canine liver necrosis. The evaluation of cholesterol and bilirubin was judged of secondary importance because these metabolites are not specific to hepatic problems. A small battery of tests must be used to establish a precise diagnosis and a clear prognosis. To the routine tests like those for SGOT, SGPT and SAP, should be added the evaluation of OCT and SIC-D.

摘要

通过检测某些血清酶,如鸟氨酸氨基甲酰转移酶(OCT)、血清异柠檬酸脱氢酶(SIC-D)、血清总乳酸脱氢酶(LDH)及其同工酶(LD₁和LD₅)的活性,来评估四氯化碳处理犬的实验性肝坏死情况。这些酶活性水平的检测在兽医临床病理学中很少进行,检测时还同时进行了我们实验室常用的检测项目:血清谷丙转氨酶(SGPT)、血清谷草转氨酶(SGOT)、血清碱性磷酸酶(SAP)、胆固醇、胆红素和凝血酶原时间。OCT水平的检测对肝坏死的诊断有帮助。SIC-D水平在实验的前四天很重要,但在随后的日子里,酶活性实际上是正常的。由于正常动物血清中LDH水平变化很大,且许多因素会影响其活性,因此该酶及其同工酶的检测并非犬肝坏死诊断的良好指标。胆固醇和胆红素的评估被认为次要,因为这些代谢产物并非肝脏问题所特有。必须使用一小套检测来建立准确的诊断和明确的预后。除了SGOT、SGPT和SAP等常规检测外,还应增加OCT和SIC-D的评估。

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本文引用的文献

3
The study of liver function in dogs.犬类肝脏功能的研究。
Can J Med Sci. 1952 Jun;30(3):256-71. doi: 10.1139/cjms52-034.
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LIVER BIOPSY IN THE DOG.犬肝脏活检
J Am Vet Med Assoc. 1965 Jan 15;146:126-8.

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