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[慢性肝病中的免疫指标]

[Immunological indices in chronic liver diseases].

作者信息

Maleev A, Krustev Z, Ognianov M, Kolarski V, Ninova D

出版信息

Vutr Boles. 1977;16(3):33-8.

PMID:898922
Abstract

The study aimed at the confrontation of the results from the investigation of the immunoglobulines G, M, and A (IgG, IgM and IgA), the test for spontaneous rosette formation and the determination of Australian antigen (HBsAg) in 110 patients with chronic liver disease (liver steatosis, chronic persisting hepatitis, chronic aggressive hepatitis and liver cirrhosis). The diagnosis was morphologically confirmed and some of the patients were repeatedly examined. No significant interrelations among the three main classes of immunoglobulines were established in the majority of the groups of chronic liver diseases, speaking for the individual information, carried by the separate immunoglobuline classes. Correlation was established between IgG and IgM in chronic active hepatitis. The mean values of IgG and IgM are considerably higher in cases with splenomegaly. IgG is more often increased when the patients are carriers of HBsAg, being in agreement with the contemporary concepts about the differences in immune pathological mechanism in chronic liver diseases, with and without HB5-antigenemia.

摘要

该研究旨在对比110例慢性肝病(肝脂肪变性、慢性持续性肝炎、慢性活动性肝炎和肝硬化)患者的免疫球蛋白G、M和A(IgG、IgM和IgA)检测结果、自发玫瑰花结形成试验结果以及澳大利亚抗原(HBsAg)的检测结果。诊断经形态学确认,部分患者接受了多次检查。在大多数慢性肝病组中,未发现三种主要免疫球蛋白类别之间存在显著的相互关系,这表明各免疫球蛋白类别携带的是个体信息。在慢性活动性肝炎中,IgG和IgM之间建立了相关性。脾肿大患者的IgG和IgM平均值显著更高。当患者为HBsAg携带者时,IgG更常升高,这与当前关于有或无HB5抗原血症的慢性肝病免疫病理机制差异的概念相符。

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