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[老年人免疫球蛋白的测定。正常范围及病理状态下的变化]

[Determination of immunoglobulins in the aged. Normal range and changes in pathological conditions].

作者信息

Molaschi M, Toselli P, Poli L, Pecchio F, Fabris F

出版信息

Minerva Med. 1980 Jan 14;71(1):25-32.

PMID:7354922
Abstract

Serum IgA, IgG and IgM values in 238 normal aged subjects were compared with those in 100 normal adults. Both male and female aged subjects displayed a significant rise in IgA and a significant fall in IgM, whereas IgG values were not markedly different. It was found that IgA increased and IgM decrease by an average of 12 mg % and 10 mg % (17 mg % in the aged) per decade respectively. Values were also determines in 597 aged hospital patients and related to the disease for which they were admitted. Increases in all three Igs were noted in sclerotic cardiopathy, chronic cerebrovascular insufficiency, acute broncopneumopathy (IgA increase only in chronic forms), and gastroduodenal ulcer. Diverticulosis of the colon and acute pancreatitis, however, were accompanied by elevated IgA values only. Increases were particularly marked in chronic liver disease, less so in diseases of the gallbladder. Neoplasia was usually accompanied by higher Ig levels.

摘要

对238名正常老年人的血清IgA、IgG和IgM值与100名正常成年人的这些值进行了比较。老年男性和女性的IgA均显著升高,IgM显著降低,而IgG值无明显差异。研究发现,每十年IgA平均增加12mg%,IgM平均降低10mg%(老年人中为17mg%)。还对597名老年住院患者的值进行了测定,并将其与他们所患疾病相关联。在硬化性心脏病、慢性脑血管供血不足、急性支气管肺炎(仅在慢性形式中IgA升高)和胃十二指肠溃疡中,发现所有三种免疫球蛋白均升高。然而,结肠憩室病和急性胰腺炎仅伴有IgA值升高。在慢性肝病中升高尤为明显,在胆囊疾病中则不太明显。肿瘤通常伴有较高的免疫球蛋白水平。

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