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[浸润性肺结核患者细菌分离及菌血症的动态变化]

[Dynamics in bacterial isolation and antigenemia in patients with infiltrative pulmonary tuberculosis].

作者信息

Litvinov V I, Mikhaĭlova I V, Kapina M A, Baenskiĭ A V, Demíanenko N V

出版信息

Probl Tuberk. 1994(4):23-5.

PMID:7984608
Abstract

A hundred patients with infiltrative pulmonary tuberculosis were studied. They were examined for bacterial isolates and mycobacterial antigens in the immune complexes. The isolates were detected in 76%. In most cases, isolation stopped 3 months following chemotherapy and in the absolute majority of cases (except one) 9 months after. Isolation of L-forms remained for a longer period of time, at month 6 of therapy there was an increase in the number of patients who were found to have L-forms of the bacteria. Most (97%) patients with infiltrative tuberculosis displayed mycobacterial antigens circulating in the immune complexes. Antigenemia retained in a considerable (40%) number of patients long (up to 9 months) and in most cases with the unfavourable course of the disease.

摘要

对100例浸润性肺结核患者进行了研究。检测了他们免疫复合物中的细菌分离株和分枝杆菌抗原。76%的患者检测到分离株。在大多数情况下,化疗3个月后分离停止,绝大多数情况(除1例外)在9个月后停止。L型菌的分离持续时间更长,在治疗第6个月时,发现有细菌L型的患者数量增加。大多数(97%)浸润性肺结核患者的免疫复合物中循环有分枝杆菌抗原。相当数量(40%)的患者长期(长达9个月)存在抗原血症,且大多数发生在疾病进程不利的情况下。

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