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建立一种竞争性固相放射免疫分析法(SP-RIA),用于定量测定人体血清或脑脊髓液(CSF)中的C-反应蛋白(C-reactiveProtein,CRP)。最小可测量为5ng/ml;批内CV为4.9%,批间CV为12.6%。68份健康人血清的CRP含量为0.028~3.400μg/ml(中位数0.166μg/ml);16份新生儿脐带血清的CRP含量为0.013~9.000μg/ml(中位数0.095μg/ml);63份“流脑”病人血清CRP为0.150~520.000μg/ml(中位数77.500μg/ml),相当于健康人的400~500倍。GSF中也可检出低水平的CRP(中位数2.070μg/ml)。“流脑”急性期血清的CRP含量,比恢复期高出300多倍,而婴幼儿轮状病毒性腹泻病人的急性血CRP含量不高(中位数5.580μg/ml),且同恢复期血清CRP含量之比,仅为2~3∶1,提示此种病毒性感染的急性相应答(Acutephaseresponse)不如细菌性脑膜炎显著。
A competitive solid-phase radioimmunoassay (SP-RIA) was established for the quantitative determination of C-reactive protein (CRP) in human serum or cerebrospinal fluid (CSF). The smallest measurable was 5 ng / ml; the intra-assay CV was 4.9% and the inter-assay CV was 12.6%. The serum levels of CRP in 68 healthy volunteers ranged from 0.028 to 3.400 μg / ml (median, 0.166 μg / ml). The CRP levels in 16 neonates with umbilical cord serum ranged from 0.013 to 9.000 μg / ml Median 0.095μg / ml); 63 patients with “meningitis” serum CRP was 0.150 ~ 520.000μg / ml (median 77.500μg / ml), equivalent to 400 to 500 times the healthy people. Low levels of CRP were also detectable in the GSF (median 2.070 μg / ml). CRP levels in acute “meningitis” serum were more than 300-fold higher than those in convalescent periods, whereas acute blood levels of acute blood in infants with rotavirus diarrhea were low (median 5.580 μg / ml) and were associated with recovery Serum CRP content ratio, only 2 ~ 3: 1, suggesting that the acute phase of this virus infection response (Acutephaseresponse) is not as significant as bacterial meningitis.