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[细胞介导免疫在髋关节置换手术术前评估中的作用]

[Cell-mediated immunity in the preoperative evaluation of hip prosthesis surgery].

作者信息

Dubois G

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1984;70(5):371-6.

PMID:6239318
Abstract

The risk of post-operative infection after hip surgery is related to the general condition of the patient - chronic disease, age, persisting infection. An attempt to quantify this risk was made by using the Multi-test I.M.C. to determine the state of cellular - mediated immunity in 60 patients before operation. No instance of infection was found in 28 normally reactive patients. Five infections were noted in 29 anergic patients. Three anergic infected cases were cured by treatment, the test having become normal. It is concluded that skin tests are a simple method of determining the post-operative risk of infection. The pre-operative treatment of anergic patients is discussed.

摘要

髋关节手术后的感染风险与患者的一般状况有关——慢性病、年龄、持续感染。通过使用多测试免疫测定法(Multi-test I.M.C.)对60例患者术前的细胞介导免疫状态进行测定,试图对这种风险进行量化。28例免疫反应正常的患者未出现感染情况。29例无反应性患者中有5例发生感染。3例无反应性感染病例经治疗后痊愈,检测结果恢复正常。得出的结论是,皮肤试验是确定术后感染风险的一种简单方法。文中还讨论了对无反应性患者的术前治疗。

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