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血清PLA2对急性胰腺炎的诊断和预后判断价值 被引量:3

DIAGNOSTIC AND PROGNOSTIC UTILITY OF PLA 2 IN PATIENTS WITH ACUTE PANCREATITIS
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摘要 为了解血清PLA2对急性胰腺炎的临床价值,应用单克隆抗体,免疫组化方法,检测20例急性胰腺炎和15例其他腹痛病人的血清PLA2值。结果发现,所有急性胰腺炎病人(包括出血坏死型和水肿型),在入院当天血清PLA2值均有明显升高,表现为阳性或强阳性,敏感性100%,持续时间3~9天或更长;且在一定范围内随病情变化而变化,可以反应胰腺的损害程度,对胰腺炎的预后判断有一定帮助。其他腹痛病人(胆囊炎、腹膜炎、阑尾炎),PLA2值也有不同程度升高,甚至表现为强阳性。研究表明,PLA2对急性胰腺炎不具有特异性。 PLA 2 was measured by monoclonal antibody Immunohistochemistry assay in the serum of 20 patients with acute pancreatitis and 15 patients with other abdominal pain.We discovered that PLA 2 value in the serum of all patients with acute pancreatitis , including severe necrotizing form and mild edematousform, was significant elevation on the first day after hospital admission, showing positive or stronger positive . The clinical sensitivity was 100%; Last 3-9 days, even longer. Within the certain scope, PLA 2 value changes according to the change of disease , may reflect the extent of pancreatic tissue destruction and provide help to prognosis of pancreatitis . PLA 2 value of patients with other abdominal pain , such as:cholecystitis, peritonitis and appendicitis, also increase, and even show stronger positve. PLA 2 isn't specific to pancreatitis. It is only an important reference marker.
出处 《南通医学院学报》 1996年第3期326-328,共3页 ACTA Academiae Medicinae Nantong
关键词 急性 胰腺炎 PLA2 单克隆抗体 免疫组织化学 Acute Pancreatitis PLA 2 Anti-PLA 2 monoclonal antibody immunohistochemistry
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