Henneberg R, Messerschmidt O, Maurer G
Strahlentherapie. 1975 Jun;149(6):636-49.
After combined injuries, much more pronounced changes in the protein composition of serum develop than simply after skin wounding or irradiation. A decrease was found in the prealbumin, albumin, alpha1-globulin and gamma-globulin fractions while the alpha2-globulin and beta-globulin fractions increased. If skin wounds were inflicted prior or almost simultaneously to irradiation, the serum protein changes as induced by irradiation become normalized earlier. I1 skin wounds were inflicted after irradiation they caused very pronounced alteration in the protein picture which develops in a course parallel to the increasing lethality. Only if the skin wounds were inflicted 21 days after irradiation, that they appeared to have nearly no influence in the form of augmenting protein changes. The gamma-globulin content increased considerably after the 14th day after irradiation. An additional skin wound, however, caused a depression of the gamma-globulins; but the values were still significantly higher than normal.
复合伤后血清蛋白质组成的变化比单纯皮肤创伤或照射后更为显著。发现前白蛋白、白蛋白、α1球蛋白和γ球蛋白组分减少,而α2球蛋白和β球蛋白组分增加。如果在照射前或几乎同时造成皮肤创伤,照射引起的血清蛋白质变化会更早恢复正常。如果在照射后造成皮肤创伤,它们会导致蛋白质图谱发生非常明显的变化,这种变化与致死率增加的过程平行发展。只有在照射后21天造成皮肤创伤时,它们似乎几乎不会以增加蛋白质变化的形式产生影响。照射后第14天,γ球蛋白含量显著增加。然而,额外的皮肤创伤会导致γ球蛋白含量降低;但这些值仍明显高于正常水平。