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外科患者和献血者中的血凝素与免疫球蛋白(作者译)

[Hemagglutinins and immunoglobulins in surgical patients and blood donors (author's transl)].

作者信息

Peter H, Peter H, Werny D

出版信息

Med Klin. 1978 Apr 28;73(17):615-20.

PMID:642863
Abstract

In our investigations 60 patients with severe consuming surgical illness and 61 patients with tumors, especially of the bowel, have shown distinctly higher values of hemagglutinins and immunoglobulins than 60 other patients with slighter disease and 1181 healthy blood donors. Therefore we conclude that those are able to form much more humoral antibodies as supposed up to now, inspite of their severe illness. The stimulation of their immune-system may be caused by resorption of intestinal mucosa, containing compounds identical to the bloodgroup substances A and B, from ulcera and during surgery, or by resorption of similar bacterial antigens e.g. Common-Antigen. The good humoral situation of the tumor patients contrasts to their supposed insufficient cellular immune defense, not tested by us. Therefore the BCG stimulation is only necessary if an insufficient cellular immune situation is proved. X-rays and cytostatica used without severe indication, will destroy the humoral antibodies found by us.

摘要

在我们的调查中,60名患有严重消耗性外科疾病的患者和61名患有肿瘤(尤其是肠道肿瘤)的患者,其血凝素和免疫球蛋白的值明显高于另外60名病情较轻的患者以及1181名健康献血者。因此我们得出结论,尽管这些患者患有重病,但他们能够产生比目前所认为的更多的体液抗体。其免疫系统的刺激可能是由于从溃疡处及手术过程中吸收了含有与血型物质A和B相同化合物的肠黏膜,或者是由于吸收了类似的细菌抗原,如共同抗原。肿瘤患者良好的体液状况与他们被认为的细胞免疫防御不足形成对比,我们尚未对此进行检测。因此,只有在证明细胞免疫状况不足时才需要进行卡介苗刺激。在没有严格指征的情况下使用X射线和细胞抑制剂,将会破坏我们所发现的体液抗体。

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