Ratajczak M Z, Szczylik C, Jedrzejczak W W
Zakładu Immunologii CSK WAM.
Pol Tyg Lek. 1993;48(11-13):276-81.
The disturbances in bilirubin level, transaminases (GOT, GPT) and alkaline phosphatase (AP) activities in serum of patients undergoing allogeneic bone marrow transplantation are discussed. Hyperbilirubinemia was considered in all, increase in transaminases activity in half of the group of 10 patients after marrow infusion. In the patients displaying hemopoietic reconstitution bilirubin levels returned to normal. In case of bone marrow graft failures or severe complications in posttransplant period the profound abnormalities in tested parameters were encountered, particularly before death. Possible causes of such disturbances in biochemical hepatic parameters are also briefly discussed.
本文讨论了接受同种异体骨髓移植患者血清中胆红素水平、转氨酶(谷草转氨酶、谷丙转氨酶)和碱性磷酸酶活性的紊乱情况。所有患者均出现高胆红素血症,10例患者中有半数在骨髓输注后转氨酶活性升高。在造血功能重建的患者中,胆红素水平恢复正常。在骨髓移植失败或移植后出现严重并发症的情况下,尤其是在死亡前,检测参数出现了严重异常。文中还简要讨论了肝脏生化参数出现此类紊乱的可能原因。