Rogos R
Z Gesamte Inn Med. 1978 Aug 1;33(15):506-12.
In 305 patients examined by liver biopsy albumin and the entire soluble protein in the liver puncture as well as albumin in the serum were estimated quantitatively. A significant decrease of the serum albumin level in active cirrhoses and biliary liver damages confirmed the importance of the hypalbuminaemia as facultative symptom of a liver damage. The lacking specifity was emphasized by the low albumin serum concentrations in malignomas and after the intake of contraceptive hormones. The hypalbuminaemia and the increased content of soluble liver protein in the bioptic material might enrich the diagnostics of the activity in cirrhoses. The diagnostic value of the decrease of the relative proportion of albumin is low, since of all liver diseases examined the active cirrhosis alone was accompanied by a significant decrease. The estimation of the albumin content in the bioptically got liver tissue had in contrast to the animal experiment no diagnostic value for liver diseases.
对305例接受肝活检的患者,定量检测了肝穿刺组织中的白蛋白和全可溶性蛋白以及血清中的白蛋白。活动性肝硬化和胆汁性肝损伤患者血清白蛋白水平显著降低,证实低白蛋白血症作为肝损伤的一个次要症状具有重要意义。恶性肿瘤患者及服用避孕激素后血清白蛋白浓度较低,凸显了该指标缺乏特异性。低白蛋白血症及活检材料中可溶性肝蛋白含量增加可能有助于丰富肝硬化活动性的诊断。白蛋白相对比例降低的诊断价值较低,因为在所检查的所有肝病中,只有活动性肝硬化伴有显著降低。与动物实验不同,对经活检获得的肝组织中白蛋白含量的测定对肝病没有诊断价值。