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血浆蛋白在红细胞沉降中的特定作用。对健康人和病人红细胞沉降率(ESR)与20种个体血浆蛋白浓度之间的相关系数分析,特别提及心肌梗死(作者译)

[The specific effect of plasma proteins in erythrocyte sedimentation. An analysis of the correlation coefficients between ESR and the concentration of twenty individual plasma proteins in healthy and sick persons, with special reference to myocardial infarction (author's transl)].

作者信息

Scherer R, Morarescu A, Ruhenstroth-Bauer G

出版信息

Klin Wochenschr. 1978 Mar 15;53(16):265-73.

PMID:682522
Abstract
  1. Spearman's rank correlation coefficient between erythrocyte sedimentation rate and the concentration of twenty individual plasma proteins was determined in 72 persons including 37 patients with recent myocardial infarction. The highest correlation coefficients with ESR could be demonstrated in the following proteins: fibrinogen, alpha-1-acid-glycoprotein, alpha-2-macroglobulin, alpha-1-antitrypsin, coeruloplasmin, Ig M. The closest correlation with ESR was found, when the molar concentrations of fibrinogen, alpha-2-macroglobulin and Ig M were summed up. 2. Subdivision of the examined group of patients according to their diagnosis showed that the degree of correlation with ESR in many plasma proteins essentially depends on the composition of the studied group of patients. The patients with myocardial infarction, with pneumonia and those with neoplasma all showed distinctly different patterns of correlation. These obviously reflect underlying changes in the concentrations of the studied proteins, that seem to be specific to the respective disease. 3. In 4 patients with myocardial infarction the changes in plasma protein concentrations together with ESR were followed over a period of 26 days after the infarction.
摘要
  1. 在包括37例近期心肌梗死患者在内的72人中,测定了红细胞沉降率与20种血浆蛋白浓度之间的Spearman等级相关系数。与红细胞沉降率相关性最高的蛋白如下:纤维蛋白原、α1-酸性糖蛋白、α2-巨球蛋白、α1-抗胰蛋白酶、铜蓝蛋白、IgM。当将纤维蛋白原、α2-巨球蛋白和IgM的摩尔浓度相加时,发现与红细胞沉降率的相关性最密切。2. 根据诊断对受检患者组进行细分显示,许多血浆蛋白与红细胞沉降率的相关程度主要取决于所研究患者组的构成。心肌梗死患者、肺炎患者和肿瘤患者均表现出明显不同的相关模式。这些明显反映了所研究蛋白浓度的潜在变化,这些变化似乎是各自疾病所特有的。3. 对4例心肌梗死患者在梗死后26天内随访观察了血浆蛋白浓度和红细胞沉降率的变化。

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