Keller P, Reding R
Zentralbl Chir. 1981;106(17):1152-9.
In patients suffering from diffuse peritonitis serum levels of Ig A, Ig M and Ig G were examined. In general, there was no decrease of serum concentration. On the contrary an increase of Ig M and Ig A with a concomitant decrease of the serum albumin level could be observed in the postoperative phase. This happened especially in patients with a lethal outcome. The results obtained do not speak for a severe impairment of the humoral immunity in patients with diffuse peritonitis. Final conclusions concerning the evaluation of an additional gammaglobulin therapy in patients with peritonitis cannot be drawn.
对患有弥漫性腹膜炎的患者检测了血清IgA、IgM和IgG水平。总体而言,血清浓度没有降低。相反,在术后阶段可观察到IgM和IgA升高,同时血清白蛋白水平降低。这尤其发生在预后不良的患者中。所获得的结果并不支持弥漫性腹膜炎患者的体液免疫严重受损。关于对腹膜炎患者追加丙种球蛋白治疗的评估,无法得出最终结论。