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溶血尿毒综合征:循环内毒素缺失。

Hemolytic-uremic syndrome: absence of circulating endotoxin.

作者信息

van Wieringen P M, Monnens L A, Bakkeren J A

出版信息

Pediatrics. 1976 Oct;58(4):561-3.

PMID:972798
Abstract

In children with hemolytic-uremic syndrome endotoxin determinations were carried out in the peripheral circulation in order to get evidence for the hypothetical role of endotoxin in the pathogenesis of the disease. For this purpose the Limulus test was used to determine endotoxin activity in 16 patients with hemolytic-uremic syndrome. In the plasma of these patients no endotoxin could be detected above the lower detection limit of 100 pg/ml, although in all patients with septicemia due to gram-negative bacilli the test was positive.

摘要

为了证实内毒素在溶血尿毒综合征发病机制中所假设的作用,对溶血尿毒综合征患儿的外周循环进行了内毒素测定。为此,采用鲎试剂法对16例溶血尿毒综合征患者的内毒素活性进行了测定。这些患者血浆中未检测到高于100 pg/ml检测下限的内毒素,尽管所有革兰阴性杆菌败血症患者的检测结果均为阳性。

相似文献

1
Hemolytic-uremic syndrome: absence of circulating endotoxin.溶血尿毒综合征:循环内毒素缺失。
Pediatrics. 1976 Oct;58(4):561-3.
2
Hemolytic-uremic syndrome after shigellosis. Relation to endotoxemia and circulating immune complexes.志贺菌病后的溶血尿毒综合征。与内毒素血症及循环免疫复合物的关系。
N Engl J Med. 1978 Apr 27;298(17):927-33. doi: 10.1056/NEJM197804272981702.
3
Validity of the endotoxin assay in post surgical patients.内毒素检测在外科术后患者中的有效性。
Prog Clin Biol Res. 1985;189:405-17.
4
Impaired and exhausted platelets in modified generalized Shwartzman reaction: an analogue of hemolytic uremic syndrome associated with endotoxemia.改良型全身性施瓦茨曼反应中受损和耗竭的血小板:一种与内毒素血症相关的溶血性尿毒症综合征的类似物。
J Lab Clin Med. 1983 Dec;102(6):847-57.
5
[Pathogeny of the hemolytic and uremic syndrome. Recent concepts].
Arch Fr Pediatr. 1988 Oct;45(8):523-6.
6
[Clinical value of endotoxin determination in infection. Comparison of the Limulus amebocyte lysate test with detection of bacterial pathogens].[感染中内毒素测定的临床价值。鲎试剂检测与细菌病原体检测的比较]
Acta Med Austriaca. 1987;14(1):21-4.
7
[Detection of endotoxin in plasma: specificity and value for development and prognosis of infection].[血浆中内毒素的检测:对感染发生发展及预后的特异性和价值]
Infusionsther Transfusionsmed. 1993 Apr;20 Suppl 1:16-9; discussion 20.
8
[How is hemolytic-uremic syndrome in childhood acquired in Switzerland?].
Schweiz Med Wochenschr. 1997 Jul 22;127(29-30):1229-33.
9
Lack of clinical usefulness of the limulus test in the diagnosis of endotoxemia.鲎试剂检测在内毒素血症诊断中的临床实用性不足。
N Engl J Med. 1975 Sep 11;293(11):521-4. doi: 10.1056/NEJM197509112931102.
10
Campylobacter jejuni-associated hemolytic-uremic syndrome: a possible role for endotoxin.空肠弯曲菌相关的溶血尿毒综合征:内毒素的可能作用。
Arch Intern Med. 1985 Mar;145(3):573.

引用本文的文献

1
Lipopolysaccharide renders transgenic mice expressing human serum amyloid P component sensitive to Shiga toxin 2.脂多糖使表达人血清淀粉样蛋白 P 成分的转基因小鼠对志贺毒素 2 敏感。
PLoS One. 2011;6(6):e21457. doi: 10.1371/journal.pone.0021457. Epub 2011 Jun 24.
2
Does gram-negative bacteraemia occur without endotoxaemia? A meta-analysis using hierarchical summary ROC curves.革兰氏阴性菌血症是否会发生而没有内毒素血症?使用分层汇总 ROC 曲线的荟萃分析。
Eur J Clin Microbiol Infect Dis. 2010 Feb;29(2):207-15. doi: 10.1007/s10096-009-0841-2. Epub 2009 Nov 29.
3
Diagnosis of endotoxemia with gram-negative bacteremia is bacterial species dependent: a meta-analysis of clinical studies.
革兰氏阴性菌菌血症患者的内毒素血症诊断依赖于细菌种类:临床研究的荟萃分析。
J Clin Microbiol. 2009 Dec;47(12):3826-31. doi: 10.1128/JCM.01189-09. Epub 2009 Sep 30.
4
Pathogenesis of the hemolytic uremic syndromes: current concepts.溶血尿毒综合征的发病机制:当前概念
Indian J Pediatr. 1988 Jul-Aug;55(4):512-25. doi: 10.1007/BF02868435.
5
[Flow sheets of urine samples in haemolytic uraemic syndrome. Examinations by analytic isotachophoresis (author's transl)].溶血尿毒综合征中尿样的流程图。通过分析等速电泳进行的检查(作者译)
Klin Wochenschr. 1979 Aug 15;57(16):855-6. doi: 10.1007/BF01477992.
6
Possible C1q bypass loop activation in the haemolytic uraemic syndrome.溶血尿毒综合征中可能存在的C1q旁路循环激活。
Clin Exp Immunol. 1979 Jan;35(1):107-11.