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慢性透析患者的血清补体与蛋白质代谢

Serum complement and protein metabolism in chronic dialysis patients.

作者信息

Falkenhagen D, Falkenhagen U, Schmicker R, Tessenow W, Holtz M, Schmidt R, Schmitt E, Klinkmann H

出版信息

Int J Artif Organs. 1979 Mar;2(2):65-8.

PMID:468396
Abstract
  1. Patients receiving regular hemodialysis treatment who are permitted to select their own diets are in danger of a protein deficiency manifested by a significant reduction in serum transferrin and in complement C3c. 2. Correlation analysis within the dialysis group revealed no secure connexion between the complement C3c and total hemolytic activity respectively, and transferrin levels. 3. Analysis of diets showed that protein intake and the serum transferrin level correlate. No such correlation was found for the complement C3c or total hemolytic activity. 4. Low transferrin levels in the serum appear to result in more severe anemia among dialysis patients. 5. Knowledge of the serum transferrin level permits much more exact assessment of the protein metabolism in regular hemodialysis patients than knowledge of the total hemolytic activity or the level of the complement C3c.
摘要
  1. 接受定期血液透析治疗且被允许自行选择饮食的患者,有出现蛋白质缺乏的风险,表现为血清转铁蛋白和补体C3c显著降低。2. 透析组内的相关性分析显示,补体C3c与总溶血活性之间以及转铁蛋白水平之间均无可靠联系。3. 饮食分析表明,蛋白质摄入量与血清转铁蛋白水平相关。补体C3c或总溶血活性则未发现此类相关性。4. 血清转铁蛋白水平低似乎会导致透析患者出现更严重的贫血。5. 与了解总溶血活性或补体C3c水平相比,了解血清转铁蛋白水平能更准确地评估定期血液透析患者的蛋白质代谢情况。

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