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闭合性骨折后某些血浆成分的变化。

Variations of some plasma components after closed fractures.

作者信息

Lal S K, Jacob K C, Nagi O N, Annamalai A L, Nair C R

出版信息

J Trauma. 1976 Mar;16(3):206-11. doi: 10.1097/00005373-197603000-00005.

DOI:10.1097/00005373-197603000-00005
PMID:56453
Abstract
  1. Variations in the serum concentrations of total proteins and the electrophoretic fractions, glycoprotein, mucoprotein, fibrinogen, erythrocyte sedimentation rate, calcium, phosphorus, alkaline, and acid phosphatases were analyzed until the 30th day following uncomplicated fracture of shafts of long bones of the limbs in 25 cases. 2) A significant fall of albumin with concomitant rise of alpha 1, alpha 2, and beta globulins were noted until 30th day. 3) Mucoprotein, glycoprotein, and fibrinogen showed parallel elevations with that of alpha and beta globulins. 4) The peak values of alpha 1 and alpha 2 globulins, mucoprotein, and fibrinogen were registered on the 10th day after trauma. Albumin showed maximum fall on the 10th day in all these cases. 5) Glycoprotein showed a peak value on the 5th day. 6) Total protein and gamma globulin remained almost unchanged throughout the studies. 7) Beta globulin showed higher values and paralleled more closely the fibrinogen and erythrocyte sedementation rates. 8) The elevations of beta globulin, fibrinogen, and erythrocyte sedimentation rate were higher, and persisted beyond 30 days in lower-limb fractures as compared to upper-limb fractures. 9) Serum calcium, phosphorus, alkaline phosphatase, and acid phosphatase were not significantly different following fractures and therefore did not reflect much physiologic variation. 10) The most significant changes in the levels of plasma fractions studied were conspicuous on the 10th day and lasted for about 1 month.
摘要
  1. 分析了25例四肢长骨干单纯性骨折后30天内血清总蛋白及其电泳组分、糖蛋白、粘蛋白、纤维蛋白原、红细胞沉降率、钙、磷、碱性磷酸酶和酸性磷酸酶的变化情况。2) 直至第30天,白蛋白显著下降,同时α1、α2和β球蛋白升高。3) 粘蛋白、糖蛋白和纤维蛋白原与α和β球蛋白呈平行升高。4) α1和α2球蛋白、粘蛋白和纤维蛋白原的峰值出现在创伤后第10天。在所有这些病例中,白蛋白在第10天下降幅度最大。5) 糖蛋白在第5天出现峰值。6) 在整个研究过程中,总蛋白和γ球蛋白几乎保持不变。7) β球蛋白值较高,与纤维蛋白原和红细胞沉降率的变化更为密切相关。8) 与上肢骨折相比,下肢骨折时β球蛋白、纤维蛋白原和红细胞沉降率升高幅度更大,且持续超过30天。9) 骨折后血清钙、磷、碱性磷酸酶和酸性磷酸酶无显著差异,因此未反映出太多生理变化。10) 所研究的血浆组分水平最显著的变化在第10天最为明显,并持续约1个月。

相似文献

1
Variations of some plasma components after closed fractures.闭合性骨折后某些血浆成分的变化。
J Trauma. 1976 Mar;16(3):206-11. doi: 10.1097/00005373-197603000-00005.
2
The physiologic variations of some plasma components after closed fractures.闭合性骨折后某些血浆成分的生理变化。
Clin Orthop Relat Res. 1968 Mar-Apr;57:299-302.
3
Dynamic changes of different serum glycoproteins after bone fractures.
Clin Chem. 1967 Dec;13(12):1065-70.
4
[Changes in serum mucoprotein levels in hepatocerebral dystrophy].
Vopr Med Khim. 1966 Nov-Dec;12(6):598-600.
5
[Biochemical and immunological characteristics of serum proteins following bone injuries in rats].[大鼠骨损伤后血清蛋白的生化及免疫学特性]
Biull Eksp Biol Med. 1980 Apr;89(4):478-9.
6
Serum osteocalcin and total alkaline phosphatase levels as prognostic indicators in tibial shaft fractures.血清骨钙素和总碱性磷酸酶水平作为胫骨干骨折的预后指标
Injury. 1989 Jan;20(1):37-8. doi: 10.1016/0020-1383(89)90042-9.
7
A comparison of the chemistry of blood from bone and peripheral veins.来自骨骼静脉和外周静脉的血液化学比较。
Clin Orthop Relat Res. 1969 Sep-Oct;66:254-64.
8
[Acid alpha-glycoprotein, mucoprotein and erythrocyte sedimentation rate in infantile rheumatic disease. Correlations and regression].[婴儿风湿性疾病中的酸性α-糖蛋白、粘蛋白和红细胞沉降率。相关性与回归分析]
Minerva Pediatr. 1976 Nov 3;28(34):2057-62.
9
[Blood proteins of calves and their 1st-calver mothers during the early post-natal period].[犊牛及其头胎母牛产后早期的血液蛋白质]
Vet Med (Praha). 1977 Aug;22(8):487-95.
10
The relation between the severity of displacement of fractures and the variations in serum proteins.骨折移位严重程度与血清蛋白变化之间的关系。
Int Surg. 1969 Jan;51(1):10-2.

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Indian J Clin Biochem. 2011 Jul;26(3):274-8. doi: 10.1007/s12291-011-0143-1. Epub 2011 Jun 8.
2
Serum intact parathyroid hormone levels in elderly Chinese females with hip fracture.中国老年髋部骨折女性的血清完整甲状旁腺激素水平
Calcif Tissue Int. 1992 Dec;51(6):412-4. doi: 10.1007/BF00296672.