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中和抗体剂量在免疫血浆治疗阿根廷出血热中的重要性。

Importance of dose of neutralising antibodies in treatment of Argentine haemorrhagic fever with immune plasma.

作者信息

Enria D A, Briggiler A M, Fernandez N J, Levis S C, Maiztegui J I

出版信息

Lancet. 1984 Aug 4;2(8397):255-6. doi: 10.1016/s0140-6736(84)90299-x.

Abstract

P6 a retrospective study outcome in patients with Argentine haemorrhagic fever was associated with the amount of neutralising antibodies against Junin virus present in the transfused units of immune plasma. Low doses of neutralising antibodies were associated with higher mortality. A prospective study gave comparable results. A dose of no less than 3000 therapeutic units of neutralising antibodies per kg body weight is recommended. It is also suggested that the lack of effectiveness of immune plasma in the treatment of other viral haemorrhagic fevers, such as Lassa fever and Crimean-Congo haemorrhagic fever, may be due to a low dose of the specific neutralising antibodies.

摘要

P6 一项关于阿根廷出血热患者的回顾性研究结果表明,其转归与免疫血浆输注单位中针对胡宁病毒的中和抗体量有关。低剂量的中和抗体与较高的死亡率相关。一项前瞻性研究也得出了类似结果。建议每公斤体重使用不少于3000治疗单位的中和抗体。还有研究表明,免疫血浆在治疗其他病毒性出血热(如拉沙热和克里米亚-刚果出血热)时缺乏疗效,可能是由于特异性中和抗体剂量较低所致。

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